Organization
INTERNATIONAL DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATE E MANNS (MANAGER)
(305) 231-7477
Entity
Organization
Contact information
Practice address
5376 W 16TH AVE, HIALEAH, FL 33012-2165
(305) 231-7477
Mailing address
5376 W 16TH AVE, HIALEAH, FL 33012-2165
(305) 231-7477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20289
FL
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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