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Organization
MY DENTIST OF MIAMI
Active
Organization
MY DENTIST OF MIAMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVA M FORNOS DDS (PRESIDENT)
(305) 290-4999
Entity
Organization
Contact information
Practice address
15790 SW 56TH ST, MIAMI, FL 33185-5285
(305) 290-4999
Mailing address
15790 SW 56TH ST, MIAMI, FL 33185-5285
(305) 290-4999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20911
FL
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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