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Individual

DR. EDWIN E. FABREGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7800 SW 87TH AVE, SUITE A-150, MIAMI, FL 33173-3570
(305) 598-6200
(305) 598-8253
Mailing address
7800 SW 87TH AVE, SUITE A-150, MIAMI, FL 33173-3570
(305) 598-6200
(305) 598-8253

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN0012453
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
601668
COMPBENEFITS
FL
01
901308
PMI DELTACARE
FL
Enumeration date
04/19/2007
Last updated
07/08/2007
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