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Organization
TOWNCARE DENTAL OF LONDON SQUARE, PLLC
Active
Organization
TOWNCARE DENTAL OF LONDON SQUARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (CREDENTIALING SUPERVISOR)
(305) 274-2499
Entity
Organization
Contact information
Practice address
13400 SW 120 ST, STE 302, MIAMI, FL 33186
(305) 274-2499
Mailing address
13400 SW 120TH ST STE 302, MIAMI, FL 33186-7441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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