# DADE COUNTY DENTAL RESEARCH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508242876
- **Authorized official:** MARIO ALVAREZ COO (COO)
- **Authorized official phone:** (305) 363-2218

## Contact information

- **Practice address:** 750 NW 20TH ST \# G-110, MIAMI, FL 33127-4618
- **Practice address phone:** (305) 363-2218
- **Mailing address:** 750 NW 20TH ST \# G-110, MIAMI, FL 33127-4618
- **Mailing address phone:** (305) 363-2218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | DN14199 | FL | Yes |

## Other

- **Enumeration date:** 08/10/2015
- **Last updated:** 03/23/2017
