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Organization
DORAL FAMILY DENTAL PL
Active
Organization
DORAL FAMILY DENTAL PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE NOVARA DMD (DIRECTOR)
(305) 960-7734
Entity
Organization
Contact information
Practice address
7800 NW 25TH ST, SUITE 11, DORAL, FL 33122-1625
(305) 960-7734
Mailing address
7800 NW 25TH ST, SUITE 11, DORAL, FL 33122-1625
(305) 960-7734
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19442
FL
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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