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Organization
SOUTHDADE FAMILY DENTISRY
Active
Organization
SOUTHDADE FAMILY DENTISRY
Active
Other names
Dr. Alfredo Corpas
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO DOMINGO CORPAS DDS (OWNER/DENTIST)
(305) 259-9130
Entity
Organization
Contact information
Practice address
18543 S DIXIE HWY, CUTLER BAY, FL 33157-6815
(305) 259-9130
(305) 259-9120
Mailing address
18543 S DIXIE HWY, CUTLER BAY, FL 33157-6845
(305) 259-9130
(305) 259-9120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074855203
—
FL
Enumeration date
08/28/2007
Last updated
06/06/2014
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