Individual
BEATRIZ VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15640 SW 72ND ST, MIAMI, FL 33193-1921
(305) 200-3404
Mailing address
16578 SW 71ST TER, MIAMI, FL 33193-5548
(786) 280-0329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN27032
FL
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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