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Organization
PINO DENTAL PA
Active
Organization
PINO DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAQUEL PINO DMD (OWNER/DENTIST)
(786) 337-0741
Entity
Organization
Contact information
Practice address
20161 SW 127TH AVE, MIAMI, FL 33177-5117
(786) 337-0741
Mailing address
6291 SW 15TH ST, WEST MIAMI, FL 33144-5607
(786) 337-0741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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