Individual
CARLOS RENE FIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 CORAL WAY, SUITE 430, CORAL GABLES, FL 33145-3214
(305) 569-9927
Mailing address
2828 CORAL WAY, SUITE 430, MIAMI, FL 33145
(305) 569-9927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12693
FL
Other
Enumeration date
04/04/2007
Last updated
12/22/2008
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