Organization
JACARRENO DDS PA
Active
Other names
dental office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANTONIO CARRENO DDS (PRESIDENT)
(305) 553-1640
Entity
Organization
Contact information
Practice address
10688 CORAL WAY, MIAMI, FL 33165-7917
(305) 553-1640
(305) 271-1167
Mailing address
10688 CORAL WAY, MIAMI, FL 33165-7917
(305) 553-1640
(305) 271-1167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN7219
FL
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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