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Organization
MIAMI LAKES PERIODONTAL ASSOCIATES
Active
Organization
MIAMI LAKES PERIODONTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A DEL CASTILLO D.M.D.,P.A. (OWNER)
(305) 556-7010
Entity
Organization
Contact information
Practice address
7735 NW 146TH ST STE 104, MIAMI LAKES, FL 33016-1583
(305) 556-7010
Mailing address
7735 NW 146TH ST STE 104, MIAMI LAKES, FL 33016-1583
(305) 556-7010
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN16708
FL
1223P0300X
Periodontics
Primary
DN10470
FL
1223P0300X
Periodontics
DN16664
FL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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