Organization
CLAUDIO L MIRO DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIO L MIRO DDS (PRESIDENT)
(305) 442-7444
Entity
Organization
Contact information
Practice address
564 SW 42ND AVE FL 2, CORAL GABLES, FL 33134-1962
(305) 442-7444
Mailing address
564 SW 42ND AVE FL 2, CORAL GABLES, FL 33134-1962
(305) 442-7444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN 16862
FL
1223G0001X
General Practice Dentistry
Primary
DN11650
FL
1223G0001X
General Practice Dentistry
DN16786
FL
124Q00000X
Dental Hygienist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071953600
—
FL
Enumeration date
02/02/2009
Last updated
02/02/2009
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