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Organization
SOUTHLAND MALL DENTAL
Active
Organization
SOUTHLAND MALL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VADIM VALDMAN DDS (OWNER)
(212) 810-6226
Entity
Organization
Contact information
Practice address
20505 S DIXIE HWY, CUTLER BAY, FL 33189-1229
(305) 232-7982
(305) 828-7651
Mailing address
20505 S DIXIE HWY, CUTLER BAY, FL 33189-1229
(305) 232-7982
(305) 828-7651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17761
FL
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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