Organization
HEALTH AND COSMETIC DENTAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETELL M RODRIGUEZ DDS (DENTIST)
(305) 646-9222
Entity
Organization
Contact information
Practice address
4150 NW 7TH ST STE 103, MIAMI, FL 33126-5535
(305) 646-9222
(305) 646-6704
Mailing address
4150 NW 7TH ST STE 103, MIAMI, FL 33126-5535
(305) 646-9222
(305) 646-6704
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19927
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008147300
—
FL
Enumeration date
02/12/2015
Last updated
02/12/2015
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