Organization
ANTONIO OTERO DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO OTERO DDS (PRESIDENT)
(305) 442-8866
Entity
Organization
Contact information
Practice address
782 NW 42ND AVE, SUITE 538, MIAMI, FL 33126-5541
(305) 442-8866
(305) 448-6407
Mailing address
782 NW 42ND AVE, SUITE 538, MIAMI, FL 33126-5541
(305) 442-8866
(305) 448-6407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077828100
—
FL
Enumeration date
04/24/2007
Last updated
11/30/2011
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