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Organization
EVOLUTION SMILES
Active
Organization
EVOLUTION SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA AYALA DDS (DENTIST/OWNER)
(305) 442-6422
Entity
Organization
Contact information
Practice address
340 ALHAMBRA CIR, CORAL GABLES, FL 33134-5004
(305) 442-6422
Mailing address
340 ALHAMBRA CIR, CORAL GABLES, FL 33134-5004
(305) 442-6422
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013199200
—
FL
Enumeration date
09/18/2015
Last updated
09/18/2015
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