Organization
LITTLE STARS DENTISTRY OF MIAMI SHORES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS J RODRIGUEZ (OWNER)
(305) 754-5081
Entity
Organization
Contact information
Practice address
660 NE 95TH ST, STE #9, MIAMI SHORES, FL 33138-2758
(305) 754-5081
Mailing address
660 NE 95TH ST, STE #9, MIAMI SHORES, FL 33138-2758
(305) 754-5081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071356200
—
FL
Enumeration date
09/15/2014
Last updated
09/15/2014
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