Organization
FLORIDENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISSET GATA GARCIA DDS (DENTIST/)
(305) 595-0557
Entity
Organization
Contact information
Practice address
9240 SW 72ND ST STE 115, MIAMI, FL 33173-3262
(305) 595-0557
(305) 595-3667
Mailing address
9240 SW 72ND ST STE 115, MIAMI, FL 33173-3262
(305) 595-0557
(305) 595-3667
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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