Organization
DENTAL ADVANTAGE SOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIRY VELAZQUEZ (OWNER)
(786) 379-8019
Entity
Organization
Contact information
Practice address
33497 S DIXIE HWY, FLORIDA CITY, FL 33034-5642
(305) 874-7509
Mailing address
8650 CORAL WAY, MIAMI, FL 33155-2338
(786) 379-8019
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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