Individual
IRIS MIRTA CRUZ DALECCIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9115 SW 87TH AVE, MIAMI, FL 33176-2302
(305) 595-9556
(305) 595-1926
Mailing address
9115 SW 87TH AVE, MIAMI, FL 33176-2302
(305) 595-9556
(305) 595-1926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13911
FL
Other
Enumeration date
11/23/2005
Last updated
07/08/2007
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