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Organization
TOTAL DENTAL CARE OF FLORIDA, LLC
Active
Organization
TOTAL DENTAL CARE OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID BLANCO DMD (PRESIDENT)
(305) 747-7711
Entity
Organization
Contact information
Practice address
4410 W 16TH AVE STE 30, HIALEAH, FL 33012-7835
(305) 747-7711
(305) 697-9785
Mailing address
PO BOX 440308, MIAMI, FL 33144-0308
(786) 971-2319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002973600
—
FL
Enumeration date
11/18/2014
Last updated
09/30/2019
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