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Organization

RODOLFO LEA PLAZA DDS PA

Active
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Organization

RODOLFO LEA PLAZA DDS PA

Active
Other names
Children & Families Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
RODOLFO LEA PLAZA (DDS)
(305) 827-0434
Entity
Organization

Contact information

Practice address
400 W 65TH ST, HIALEAH, FL 33012-6640
(305) 827-0434
(305) 827-1501
Mailing address
400 WEST 65 ST, HIALEAH, FL 33012
(305) 827-0434
(305) 827-1501

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19240
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN19240
DENTIST
FL
Enumeration date
10/26/2015
Last updated
02/23/2016
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