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Organization

ACADEMIA DENTAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TASKONAK BURAK DDS (OWNER/ CEO)
(305) 792-5001
Entity
Organization

Contact information

Practice address
17395 N BAY RD, SUITE 201, SUNNY ISLES BEACH, FL 33160-3334
(305) 792-5001
(305) 792-5007
Mailing address
17395 N BAY RD, SUITE 201, SUNNY ISLES BEACH, FL 33160-3334
(305) 792-5001
(305) 792-5007

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18452
FL

Other

Enumeration date
11/17/2011
Last updated
11/17/2011
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