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Organization
SABAL PALM DENTAL ASSOCIATES
Active
Organization
SABAL PALM DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER J. PHANORD D.M.D. (OWNER)
(305) 758-0815
Entity
Organization
Contact information
Practice address
5337 NE 2ND AVE, MIAMI, FL 33137-2707
(305) 758-0815
Mailing address
5337 NE 2ND AVE, MIAMI, FL 33137-2707
(305) 758-0815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0011339
FL
Other
Enumeration date
02/23/2007
Last updated
07/19/2007
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