Individual
DR. JORGE E LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11790 SW 89TH ST, MIAMI, FL 33186-2165
(305) 271-1151
Mailing address
11790 SW 89TH STREET, MIAMI, FL 33186
(305) 271-1151
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN 18138
FL
Other
Enumeration date
05/27/2009
Last updated
04/12/2012
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