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Organization

WESTLAND MALL DENTAL, PA

Active
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Organization

WESTLAND MALL DENTAL, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSTISLAV KRASNOV DDS (OWNER)
(305) 828-7779
Entity
Organization

Contact information

Practice address
1665 W 49TH ST STE 1484, HIALEAH, FL 33012-2957
(305) 828-7779
(305) 828-7651
Mailing address
1665 W 49TH ST STE 1484, HIALEAH, FL 33012-2957
(305) 828-7779
(305) 828-7651

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/22/2008
Last updated
12/03/2018
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