Individual
DR. JUAN LUIS GARRASTAZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10717 NW 58TH ST, DORAL, FL 33178
(305) 513-4058
(305) 639-2931
Mailing address
10717 NW 58TH ST, DORAL, FL 33178-2801
(305) 513-4058
(305) 639-2931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13558
FL
Other
Enumeration date
11/14/2006
Last updated
09/06/2023
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