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Organization
NICOMEDES BERASAIN, DDS, PA
Active
Organization
NICOMEDES BERASAIN, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOMEDES BERASAIN DDS (PRESIDENT)
(305) 551-6866
Entity
Organization
Contact information
Practice address
300 SW 107TH AVE, SUITE 203, MIAMI, FL 33174-3600
(305) 551-6866
(305) 551-2863
Mailing address
300 SW 107TH AVE, SUITE 203, MIAMI, FL 33174-3600
(305) 551-6866
(305) 551-2863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN007985
FL
Other
Enumeration date
06/26/2007
Last updated
08/07/2008
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