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Organization

TAMIAMI DENTAL CENTER, PA

Active
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Organization

TAMIAMI DENTAL CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS GABBIE FERRER (MANAGER)
(305) 553-9655
Entity
Organization

Contact information

Practice address
13232 SW 8TH ST, MIAMI, FL 33184-1176
(305) 553-9655
(305) 553-9688
Mailing address
13232 SW 8TH ST, MIAMI, FL 33184-1176
(305) 553-9655
(305) 553-9688

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN16637
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN15661
LICENSE
FL
01
—
DN16385
LICENSE
FL
01
—
DN16637
LICENSE
FL
01
—
DN19023
LICENSE
FL
01
—
DN19051
LICENSE
FL
Enumeration date
09/20/2011
Last updated
09/20/2011
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