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Organization
MENENDEZ DENTAL ASSOCIATES, P.A.
Active
Organization
MENENDEZ DENTAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE MENENDEZ (OWNER)
(305) 226-7135
Entity
Organization
Contact information
Practice address
3721 SW 107TH AVE, MIAMI, FL 33165-3638
(305) 226-7135
Mailing address
3721 SW 107TH AVE, MIAMI, FL 33165-3638
(305) 226-7135
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003070600
—
FL
Enumeration date
10/17/2016
Last updated
01/08/2024
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