Organization
IBIS CHAVIANO DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA CARTAYA (MANAGER)
(786) 337-3169
Entity
Organization
Contact information
Practice address
3727 SW 8TH ST STE 101, CORAL GABLES, FL 33134-3158
(305) 444-6203
(305) 442-7979
Mailing address
3727 SW 8TH ST STE 101, CORAL GABLES, FL 33134-3158
(305) 444-6203
(305) 442-7979
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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