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Organization
GS DENTAL
Active
Organization
GS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO SAGUE (PRESIDENT)
(305) 200-3404
Entity
Organization
Contact information
Practice address
15640 SW 72ND ST, MIAMI, FL 33193-1921
(305) 200-3404
Mailing address
15640 SW 72ND ST, MIAMI, FL 33193-1921
(305) 200-3404
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN20771
FL
Other
Enumeration date
05/07/2017
Last updated
05/07/2017
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