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Organization
LATITUDE DENTAL
Active
Organization
LATITUDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YARELIE CRUZ D.M.D (MANAGER)
(787) 237-6813
Entity
Organization
Contact information
Practice address
3650 NW 82ND AVE, SUITE 402, DORAL, FL 33166-6658
(787) 237-6813
Mailing address
3650 NW 82ND AVE, SUITE 402, DORAL, FL 33166-6658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20061
FL
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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