Organization
MIREYA TOQUICA DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAYDE MIREYA TOQUICA (OWNER)
(407) 405-4084
Entity
Organization
Contact information
Practice address
6085 W COMMERCIAL BLVD, TAMARAC, FL 33319-3037
(407) 405-4084
Mailing address
6085 W COMMERCIAL BLVD, TAMARAC, FL 33319-3037
(407) 405-4084
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19499
FL
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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