Organization
INTERNATIONAL DENTAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FILIBERTO J HERDOCIA DDS (PRESIDENT)
(786) 401-6798
Entity
Organization
Contact information
Practice address
9100 SW 24TH ST STE 4, MIAMI, FL 33165-2066
(786) 401-6798
Mailing address
9100 SW 24TH ST STE 4, MIAMI, FL 33165-2066
(786) 401-6798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11609
FL
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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