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Organization
PERKADENT CORP.
Active
Organization
PERKADENT CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARIM R REVOREDO DDS (PRESIDENT)
(305) 262-9299
Entity
Organization
Contact information
Practice address
1878 SW 57TH AVE, MIAMI, FL 33155-2139
(305) 262-9299
(305) 262-8772
Mailing address
1878 SW 57TH AVE, MIAMI, FL 33155-2139
(305) 262-9299
(305) 262-8772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20428
FL
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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