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Organization
SOUTH DENTAL OF DADELAND AND SPA, INC.
Active
Organization
SOUTH DENTAL OF DADELAND AND SPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS TOBON-ANGEL DMD (OWNER)
(305) 388-7599
Entity
Organization
Contact information
Practice address
9035 SW 73RD PL, MIAMI, FL 33156-2963
(305) 670-9996
Mailing address
9035 SW 73RD PL, MIAMI, FL 33156-2963
(305) 670-9996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14672
FL
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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