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Individual

ALBA E PEREZ CARMONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1462 W 84TH ST, HIALEAH, FL 33014-3363
(305) 557-5282
(305) 557-4712
Mailing address
1462 W 84TH ST, HIALEAH, FL 33014-3363
(305) 557-5282
(305) 557-4712

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21498
FL

Other

Enumeration date
08/17/2015
Last updated
08/17/2015
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