Individual
MRS. THERESE JOCELYNE BEAUZILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DH
Contact information
Practice address
10300 SW 216TH ST, MIAMI, FL 33190-1003
(305) 253-5100
(305) 254-4987
Mailing address
15246 SW 146TH ST, MIAMI, FL 33196-2819
(305) 971-7505
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH9005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77830300
—
FL
Enumeration date
11/17/2006
Last updated
07/08/2007
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