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Organization
SUPERIOR DENTAL CARE INC
Active
Organization
SUPERIOR DENTAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANILO PEREZ (MANAGER)
(786) 464-9844
Entity
Organization
Contact information
Practice address
1140 W 50TH ST STE 310, HIALEAH, FL 33012-3411
(786) 464-9844
Mailing address
1140 W 50TH ST STE 310, HIALEAH, FL 33012-3411
(786) 464-9844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN17142
FLORIDA DENTAL LIC
FL
Enumeration date
12/21/2017
Last updated
12/21/2017
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