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Organization
SAPPHIRE DENTAL CLINIC P.A
Active
Organization
SAPPHIRE DENTAL CLINIC P.A
Active
Other names
Opalo Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEGO VIAFARA MANCILLA (GENERAL MANAGER)
(954) 872-2355
Entity
Organization
Contact information
Practice address
3880 W BROWARD BLVD STE 4, FORT LAUDERDALE, FL 33312-1062
(954) 872-2355
Mailing address
3880 W BROWARD BLVD STE 4, FORT LAUDERDALE, FL 33312-1062
(954) 872-2355
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/24/2025
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