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Organization

FAMILY & COSMETIC DENTISTRY

Active
Other names
GOMARA DMD & SALCINES DMD PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAMARIS SALCINES DMD (PRESIDENT)
(786) 243-2438
Entity
Organization

Contact information

Practice address
11371 SW 211TH ST, SUITE 27, MIAMI, FL 33189-2244
(305) 259-8818
(305) 259-8781
Mailing address
11371 SW 211TH ST, SUITE 27, MIAMI, FL 33189-2244
(305) 259-8818
(305) 259-8781

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13492
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42263
ADI PROVIDER NUMBER
FL
Enumeration date
10/05/2007
Last updated
10/05/2007
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