Organization
I. EDUARDO TERRERO, DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN EDUARDO TERRERO DDS (PRESIDENT)
(917) 796-7624
Entity
Organization
Contact information
Practice address
13759 SW 152ND ST, MIAMI, FL 33177-8125
(305) 234-9737
Mailing address
555 WASHINGTON AVE STE 350, MIAMI, FL 33139-6643
(305) 604-5707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17477
FL
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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