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Organization

KENDALL ORAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT A. PAREDES D.M.D, M.D. (PARTNER)
(305) 595-4122
Entity
Organization

Contact information

Practice address
8700 N KENDALL DR, SUITE 221, MIAMI, FL 33176-2206
(305) 595-4122
(305) 595-5908
Mailing address
8700 N KENDALL DR, SUITE 221, MIAMI, FL 33176-2206
(305) 595-4122
(305) 595-5908

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN03192
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033101027
NPI
FL
01
1447242078
NPI
FL
Enumeration date
05/23/2007
Last updated
08/22/2020
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