Individual
JENNIFER STELLA CAPRA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8807 NW 102ND CT, DORAL, FL 33178-3287
(305) 903-6084
Mailing address
8807 NW 102ND CT, DORAL, FL 33178-3287
(305) 903-6084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27932
FL
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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