Organization
DENTAL SPECIALISTS OF DORAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L GOLDEN D.D.S (CLINICAL DIRECTOR / OWNER)
(786) 355-4401
Entity
Organization
Contact information
Practice address
10666 FONTAINEBLEAU BLVD, MIAMI, FL 33172-3117
(786) 355-4401
Mailing address
10666 FONTAINEBLEAU BLVD, MIAMI, FL 33172-3117
(786) 355-4401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 2046
FL
Other
Enumeration date
09/10/2013
Last updated
06/15/2016
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