Organization
CORAL WAY DENTAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA BAEZ DDS (OWNER)
(305) 227-0155
Entity
Organization
Contact information
Practice address
9644 SW 24TH ST, MIAMI, FL 33165-8015
(305) 227-0155
(305) 227-0189
Mailing address
9644 SW 24TH ST, MIAMI, FL 33165-8015
(305) 227-0155
(305) 227-0189
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 11420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073149800
—
FL
Enumeration date
03/11/2013
Last updated
03/11/2013
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