Individual
CARLOS G BOADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16705 SW 95TH ST, MIAMI, FL 33196-4757
(305) 388-7599
Mailing address
14225 SW 126TH PL, MIAMI, FL 33186-6095
(786) 474-0635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25147
FL
Other
Enumeration date
03/27/2018
Last updated
07/08/2020
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