Organization
GABLES FAMILY DENTAL OF ALLAPATTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS TOBON (PRESIDENT)
(305) 504-5553
Entity
Organization
Contact information
Practice address
2955 NW 17TH AVE, MIAMI, FL 33142-6631
(305) 504-5553
Mailing address
2955 NW 17TH AVE, MIAMI, FL 33142-6631
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN14672
FL
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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