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Organization
MERCY DENTAL CORP
Active
Organization
MERCY DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANY DIAZ DMD (GENERAL DENTIST)
(786) 406-9241
Entity
Organization
Contact information
Practice address
3172 S UNIVERSITY DR, MIRAMAR, FL 33025-3001
(786) 406-9241
Mailing address
14749 SW 102ND TER, MIAMI, FL 33196-1629
(786) 406-9241
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN21847
FL
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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