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Organization
MIAMI DENTAL GROUP PA
Active
Organization
MIAMI DENTAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PENA DMD (OWNER)
(305) 785-4427
Entity
Organization
Contact information
Practice address
7950 NW 53RD ST STE 201, DORAL, FL 33166-4637
(786) 565-3319
Mailing address
7755 SW 87TH AVE STE 120, MIAMI, FL 33173-2534
(305) 271-0160
(305) 271-4111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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