Organization
INNOVATIVE ENDODONTICS, PA
Active
Other names
INNOVATIVE ENDODONTICS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS ANGUITA DMD (PRESIDENT)
(305) 761-3209
Entity
Organization
Contact information
Practice address
7190 SW 87TH AVE STE 206, MIAMI, FL 33173-2542
(305) 761-3209
Mailing address
6847 SUNRISE CT, CORAL GABLES, FL 33133-7017
(305) 761-3209
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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