Individual
DR. LIZVETTE MARIA MIRABAL-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1075 E 4TH AVE, HIALEAH, FL 33010-4103
(305) 557-6712
Mailing address
6305 NW 174TH TER, HIALEAH, FL 33015-4462
(786) 218-3578
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25045
FL
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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