Individual
MARISOLY DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 NW 155TH ST STE 200, MIAMI LAKES, FL 33016-5883
(305) 804-3011
Mailing address
2463 W 72ND ST, HIALEAH, FL 33016-6509
(305) 804-3011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24339
FL
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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