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Organization
WEST KENDALL PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization
WEST KENDALL PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN GARRASTAZU DMD (OWNER)
(305) 513-4058
Entity
Organization
Contact information
Practice address
13757 SW 152ND ST, MIAMI, FL 33177-8125
(305) 251-5390
Mailing address
10717 NW 58TH ST, DORAL, FL 33178-2801
(305) 513-4058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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