Individual
GUILLERMO CECILIO JAUREGUI RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
957 NW 128TH PL, MIAMI, FL 33182-2319
(305) 689-6725
Mailing address
957 NW 128TH PL, MIAMI, FL 33182-2319
(786) 838-6218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21055
FL
1223G0001X
General Practice Dentistry
DRP1100
FL
Other
Enumeration date
08/15/2012
Last updated
01/24/2015
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