Organization
FLORIDA DENTAL GROUP OF KENDALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO SOTOAGUILAR (PRESIDENT)
(305) 735-2888
Entity
Organization
Contact information
Practice address
12700 SW 128TH ST STE 203, MIAMI, FL 33186-5378
(305) 735-2880
Mailing address
12700 SW 128TH ST STE 203, MIAMI, FL 33186-5378
(305) 735-2880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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