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Organization
FACIAL SUBTLETIES
Active
Organization
FACIAL SUBTLETIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA MCMULLIN DMD (PRESIDENT)
(609) 915-9087
Entity
Organization
Contact information
Practice address
975 ARTHUR GODFREY RD STE 306, MIAMI BEACH, FL 33140-3350
(305) 532-1728
(305) 532-1729
Mailing address
975 ARTHUR GODFREY RD STE 306, MIAMI BEACH, FL 33140-3350
(305) 532-1728
(305) 532-1729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21820
FL
261QD0000X
Dental Clinic/Center
21820
FL
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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