Organization
MIAMI CENTER FOR ORTHODONTICS L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE JOSE GALLO D.D.S (DOCTOR)
(305) 223-0110
Entity
Organization
Contact information
Practice address
14660 SW 26TH ST, MIAMI, FL 33175-8065
(305) 223-0110
(305) 225-0065
Mailing address
14660 SW 26TH ST, MIAMI, FL 33175-8065
(305) 223-0110
(305) 225-0065
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 15973
FL
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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