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Organization

FLORIDIAN DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICARDO ANTONIO EGUSQUIZA DDS (DENTIST)
(305) 693-8888
Entity
Organization

Contact information

Practice address
7900 NW 27TH AVE, MIAMI, FL 33147-4902
(305) 693-8888
(305) 693-8893
Mailing address
158 W 12TH ST, HIALEAH, FL 33010-3991
(305) 887-7179
(305) 887-7179

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN11915
DENTIST LICENSE
FL
Enumeration date
09/01/2006
Last updated
03/07/2023
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