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Organization
FLORIDIAN DENTAL AT PALMETTO BAY, LLC
Active
Organization
FLORIDIAN DENTAL AT PALMETTO BAY, LLC
Active
Other names
Floridian Dental at Palmetto Bay
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HEREDIA (OFFICE MANAGER)
(305) 255-4140
Entity
Organization
Contact information
Practice address
15801 S DIXIE HWY, SUITE B, PALMETTO BAY, FL 33157-1837
(305) 255-4140
(305) 252-8323
Mailing address
15801 S DIXIE HWY, SUITE B, PALMETTO BAY, FL 33157-1837
(305) 255-4140
(305) 252-8323
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19253
FL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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