Organization
DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ISABEL ADAMES (CEO)
(305) 895-6590
Entity
Organization
Contact information
Practice address
527 NE 124TH ST, NORTH MIAMI, FL 33161-5423
(305) 895-6590
(305) 895-9274
Mailing address
527 NE 124TH ST, NORTH MIAMI, FL 33161-5423
(305) 895-6590
(305) 895-9274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20244
FL
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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