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Organization
TOWNCARE DENTAL OF WEST KENDALL, P.A.
Active
Organization
TOWNCARE DENTAL OF WEST KENDALL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS SPECIALIST)
(305) 274-2499
Entity
Organization
Contact information
Practice address
15724 SW 72 STREET, MIAMI, FL 33193
(305) 388-7900
Mailing address
13195 SW 134 ST 2ND FLOOR, MIAMI, FL 33186
(305) 247-2499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
08/04/2014
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