Organization
GABLES ISMILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA RONQUILLO (OFFICE MANAGER)
(786) 390-5716
Entity
Organization
Contact information
Practice address
2725 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-6004
(305) 396-1026
Mailing address
2725 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-6004
(305) 396-1026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
02/18/2025
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