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Organization
DENTAL SPECIALISTS OF CORAL GABLES GROUP CO.
Active
Organization
DENTAL SPECIALISTS OF CORAL GABLES GROUP CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN MARTINEZ (ADMINISTARTOR)
(305) 305-9601
Entity
Organization
Contact information
Practice address
2645 SW 37TH AVE, MIAMI, FL 33133-2754
(305) 305-9601
Mailing address
2645 SW 37TH AVE STE 303, MIAMI, FL 33133-2744
(305) 305-9601
(305) 593-6520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10709
FL
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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