Organization
BLUE DENTAL STUDIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELIA MARIA GARCIA PINO (PRESIDENT)
(407) 583-9178
Entity
Organization
Contact information
Practice address
9251 W FLAGLER ST STE B107, MIAMI, FL 33174-2410
(786) 634-1072
Mailing address
9251 W FLAGLER ST STE B107, MIAMI, FL 33174-2410
(786) 634-1072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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