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Organization

GV DENTAL STUDIO CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GIELEN VALDES PEREZ (PRESIDENT)
(786) 340-5246
Entity
Organization

Contact information

Practice address
12700 SW 122ND AVE STE 117, MIAMI, FL 33186-5271
(786) 340-5246
Mailing address
11014 SW 119TH ST, MIAMI, FL 33176-3952
(786) 340-5246

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/08/2024
Last updated
10/08/2024
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