Organization
GATEWAY DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PABLO MIRANDA DMD (OWNER)
(305) 856-2300
Entity
Organization
Contact information
Practice address
1440 NE MIAMI GARDENS DRIVE, SUITE 201, MIAMI GARDENS, FL 33179
(305) 856-2300
(305) 856-0921
Mailing address
1440 NE MIAMI GARDENS DRIVE, MIAMI GARDENS, FL 33179
(305) 856-2300
(305) 856-0921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101379500
—
FL
Enumeration date
05/23/2016
Last updated
07/23/2019
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