Individual
MRS. MARIA GABRIELA MOGOLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15659 SW 88TH ST, MIAMI, FL 33196-1103
(786) 597-1636
(786) 338-7428
Mailing address
15659 SW 88TH ST, MIAMI, FL 33196-1103
(786) 597-1636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20484
FL
Other
Enumeration date
04/06/2009
Last updated
04/18/2018
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