Organization
ORAL & FACIAL SURGERY OF MIAMI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNY CACERES DDS (MANAGER)
(786) 271-3341
Entity
Organization
Contact information
Practice address
3860 SW 8TH STREET, SUITE 201, CORAL GABLES, FL 33134
(305) 552-1193
(305) 443-0008
Mailing address
3860 SW 8TH STREET, SUITE 201, CORAL GABLES, FL 33134
(305) 552-1193
(305) 443-0008
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN18755
FL
Other
Enumeration date
04/03/2012
Last updated
05/28/2013
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