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Organization
SPECIALIZED DENTISTRY OF MIAMI, PA
Active
Organization
SPECIALIZED DENTISTRY OF MIAMI, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMAEL EL KHOULY CASTILLA DDS, MS, PHD (PRESIDENT)
(917) 279-0899
Entity
Organization
Contact information
Practice address
2020 SW 27TH AVE, MIAMI, FL 33145-2541
(917) 279-0899
Mailing address
2020 SW 27TH AVE, MIAMI, FL 33145-2541
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
04/30/2021
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