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Organization
SAMAR DENTAL GROUP
Active
Organization
SAMAR DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA OSPINA D.D.S. (OWNER)
(305) 513-4116
Entity
Organization
Contact information
Practice address
8601 NW 58TH ST, STE. 102, DORAL, FL 33166-3311
(305) 513-4116
(786) 331-8508
Mailing address
8601 NW 58TH ST, STE. 102, DORAL, FL 33166-3311
(305) 513-4116
(786) 331-8508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17493
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0769355-00
—
FL
Enumeration date
09/28/2012
Last updated
09/28/2012
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