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Organization
MIAMI GARDENS DENTAL,INC
Active
Organization
MIAMI GARDENS DENTAL,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA Y CORRALES-IGLESIAS D.D.S (PRESIDENT)
(305) 625-8272
Entity
Organization
Contact information
Practice address
4538 NW 183RD ST, MIAMI GARDENS, FL 33055-3045
(305) 625-8272
Mailing address
4538 NW 183RD ST, MIAMI GARDENS, FL 33055-3045
(305) 625-8272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN17100
FL
1223G0001X
General Practice Dentistry
Primary
DN17100
FL
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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