Individual
BELEN NATALIA VIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 GLEN ROYAL PKWY, MIAMI, FL 33125-5287
(305) 847-9915
(954) 953-1417
Mailing address
4358 N FEDERAL HWY, FT LAUDERDALE, FL 33308-5208
(754) 265-7845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V500074916910
FL DRIVERS LICENSE
FL
Enumeration date
09/05/2019
Last updated
11/30/2020
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