Organization
KENDALL ORAL SURGERY
Active
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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