Individual
ANETTE BETANCOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10115 SW 143RD PL, MIAMI, FL 33186-6988
(786) 376-0633
Mailing address
10115 SW 143RD PL, MIAMI, FL 33186-6988
(786) 376-0633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19584
FL
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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