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Organization
DENTAL CENTER AT BAPTIST, PA
Active
Organization
DENTAL CENTER AT BAPTIST, PA
Active
Other names
Dental Specialty Center at Baptist
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS)
(305) 274-2499
Entity
Organization
Contact information
Practice address
8940 N. KENDALL DR., SUITE 1001-E, MIAMI, FL 33176
(305) 275-8875
Mailing address
13195 SW 134 ST, 2ND FLOOR, MIAMI, FL 33186
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
Primary
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
09/28/2006
Last updated
08/21/2014
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