Organization
GEORGINA MESA D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA MESA D.M.D. (PRESIDENT)
(305) 380-7000
Entity
Organization
Contact information
Practice address
13550 SW 120TH ST, SUITE 512, MIAMI, FL 33186-7397
(305) 380-7000
(786) 227-5315
Mailing address
13550 SW 120TH ST, SUITE 512, MIAMI, FL 33186-7397
(305) 380-7000
(786) 227-5315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0013428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075011500
—
FL
Enumeration date
06/11/2014
Last updated
06/11/2014
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