Individual
DR. ADI SUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(786) 624-3368
Mailing address
51 SW 11TH ST APT 720, MIAMI, FL 33130-4146
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN20174
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2013
Last updated
06/23/2014
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