Organization
AILSA PLA NOVO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILSA PLA NOVO (CEO)
(786) 442-0198
Entity
Organization
Contact information
Practice address
2450 SW 122ND CT, MIAMI, FL 33175-7319
(786) 442-0198
Mailing address
PO BOX 442152, MIAMI, FL 33144-9152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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