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Individual

JORGE R CONCEPCION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
11944 SW 8TH ST, MIAMI, FL 33184-1672
(305) 221-5112
(305) 221-5640
Mailing address
13310 SW 20TH ST, MIAMI, FL 33175-1100
(305) 510-5479

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 15638
FL

Other

Enumeration date
07/17/2006
Last updated
07/09/2007
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