Organization
D.L DENTAL L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON DIAZ (ADMINISTRATOR)
(786) 360-4425
Entity
Organization
Contact information
Practice address
620 NW 33RD AVE, MIAMI, FL 33125-4106
(786) 360-4425
(786) 360-4461
Mailing address
4155 SW 136TH AVE, MIAMI, FL 33175-3253
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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