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Organization
MIDTOWN DORAL FAMILY DENTISTRY AND ORTHODONTICS PA
Active
Organization
MIDTOWN DORAL FAMILY DENTISTRY AND ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA TRUJILLO (DMD)
(954) 433-5231
Entity
Organization
Contact information
Practice address
7885 NW 107TH AVE STE 4-05, DORAL, FL 33178-4426
(954) 817-3703
Mailing address
7885 NW 107TH AVE STE 4-05, DORAL, FL 33178-4426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15532
FL
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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