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Organization

DENTAL GROUP OF HIALEAH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANILO A PEREZ (MGR)
(305) 456-5722
Entity
Organization

Contact information

Practice address
3750 W 16 AVE, STE 142-AU, HIALEAH, FL 33012
(305) 456-5722
Mailing address
3750 W 16 AVE, STE 142-AU, HIALEAH, FL 33012
(305) 456-5722

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20258
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN20258
FL DENTAL LIC
FL
Enumeration date
09/07/2016
Last updated
09/07/2016
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