Organization
JMCG DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (ADMINISTRATOR)
(305) 621-0023
Entity
Organization
Contact information
Practice address
5961 NW 173RD DR, HIALEAH, FL 33015-5114
(305) 556-7500
(305) 503-3476
Mailing address
1000 PARK CENTRE BLVD, SUITE 100, MIAMI, FL 33169-5373
(305) 628-6136
(305) 628-6121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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