Organization
DORAL PEDIATRIC DENTISTRY
Active
Parent organization
DORAL PEDIATRIC DENTISTRY
Other names
Kendall Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DORAL PEDIATRIC DENTISTRY
Authorized official
JUAN L GARRASTAZU DMD (OWNER)
(305) 251-5390
Entity
Organization
Contact information
Practice address
13757 SW 152ND ST, MIAMI, FL 33177-8125
(305) 251-5390
Mailing address
13757 SW 152ND ST, MIAMI, FL 33177-8125
(305) 251-5390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
09/06/2023
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