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Organization
DENTAL SERVICES OF TOWN AND COUNTRY, PA
Active
Organization
DENTAL SERVICES OF TOWN AND COUNTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO OTERO DDS (PRESIDENT/OWNER)
(305) 606-1232
Entity
Organization
Contact information
Practice address
13776 SW 152ND ST, MIAMI, FL 33177-1163
(305) 255-8855
Mailing address
13776 SW 152ND ST, MIAMI, FL 33177-1163
(305) 255-8855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077828102
—
FL
Enumeration date
08/17/2011
Last updated
08/17/2011
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