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Organization

DENTAL COSMETICS OF FLORIDA, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTONIO OTERO DDS (PRESIDENT)
(305) 595-5655
Entity
Organization

Contact information

Practice address
9055 SW 87 AVENUE, SUITE 300, MIAMI, FL 33176
(305) 595-5655
(305) 595-9011
Mailing address
9055 SW 87 AVENUE, SUITE 300, MIAMI, FL 33176
(305) 595-5655
(305) 595-9011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
077828108
FL
Enumeration date
05/04/2007
Last updated
11/30/2011
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