Organization
DENTAL SPECIALISTS OF DORAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN CRUZ (OFFICE MANAGER/PRESIDENT)
(786) 355-4401
Entity
Organization
Contact information
Practice address
10305 SW 41 ST, DORAL, FL 33178
(786) 355-4401
Mailing address
10305 NW 41ST ST, # 207, DORAL, FL 33178-2396
(786) 355-4401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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