Organization
IVETTE GUILLERMO DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVETTE GUILLERMO DMD (DENTIST)
(305) 220-3777
Entity
Organization
Contact information
Practice address
10768 SW 24TH ST, MIAMI, FL 33165-2493
(305) 220-3777
(305) 220-7845
Mailing address
10768 SW 24TH ST, MIAMI, FL 33165-2493
(305) 220-3777
(305) 220-7845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070891700
—
FL
Enumeration date
07/11/2011
Last updated
07/11/2011
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