Organization
PROSTHODONTIC DENTISTRY OF S FL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVONNE FAINE (OFFICE MANAGER)
(305) 857-0990
Entity
Organization
Contact information
Practice address
2601 S BAYSHORE DR, SUITE 760, COCONUT GROVE, FL 33133-5417
(305) 857-0990
(305) 857-9180
Mailing address
2601 S BAYSHORE DR, SUITE 760, COCONUT GROVE, FL 33133-5417
(305) 857-0990
(305) 857-9180
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN13965
FL
Other
Enumeration date
01/11/2011
Last updated
04/24/2012
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