Organization
DENTAL R US
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISANDRA MACIAS (OFFICE MANAGER)
(305) 253-7588
Entity
Organization
Contact information
Practice address
11373 SW 211TH ST STE 11, MIAMI, FL 33189-2246
(305) 253-7588
Mailing address
11373 SW 211TH ST STE 11, MIAMI, FL 33189-2246
(305) 253-7588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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