Organization
MDR DENTAL CORP.
Active
Other names
MDR Dental Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS E DIAZ CEO (OWNER)
(786) 669-9755
Entity
Organization
Contact information
Practice address
10543 SW 109TH CT, MIAMI, FL 33176-3308
(305) 595-0917
(305) 595-0919
Mailing address
10543 SW 109TH CT, MIAMI, FL 33176-3308
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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