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Organization
SOUTH DENTAL AT FOREST LAKES KENDALL SQUARE,INC
Active
Organization
SOUTH DENTAL AT FOREST LAKES KENDALL SQUARE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS LACAYO (REGIONAL MANAGER)
(786) 224-0848
Entity
Organization
Contact information
Practice address
16705 SW 95TH ST, MIAMI, FL 33196-4757
(786) 329-5909
Mailing address
16705 SW 95TH ST, MIAMI, FL 33196-4757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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