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Individual

LIVET BOFFIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
10540 NW 78TH ST APT 5-410, DORAL, FL 33178-6079
(305) 798-4583
Mailing address
10540 NW 78TH ST APT 5-410, DORAL, FL 33178-6079
(305) 798-4583

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26205
FL

Other

Enumeration date
07/04/2021
Last updated
07/04/2021
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