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Organization

ANILLO DENTAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUAN ANILLO DDS (PRESIDENT)
(305) 382-5000
Entity
Organization

Contact information

Practice address
10201 HAMMOCKS BLVD, 146, MIAMI, FL 33196-4712
(305) 382-5000
Mailing address
10201 HAMMOCKS BLVD, 146, MIAMI, FL 33196-4712
(305) 382-5000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13030
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13-64-06293
FLORIDA DEPARMENT OF HEALTH
FL
01
4783552
MIAMI-DADE COUNTY PROPERTY APPRAISER
FL
01
ANILLO DENTAL CENTER
FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS
FL
Enumeration date
04/04/2014
Last updated
04/04/2014
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