Organization
GABRIEL A VIDAL, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL A VIDAL DMD (PRESIDENT)
(786) 223-3935
Entity
Organization
Contact information
Practice address
8335 SW 66TH ST, MIAMI, FL 33143-2531
(786) 223-3935
Mailing address
8335 SW 66TH ST, MIAMI, FL 33143-2531
(786) 223-3935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14960
FL
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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