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Organization

BISCAYNE DENTAL CENTER

Active
Other names
Biscayne Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIO IRAHETA D.D.S (DENTIST)
(305) 945-7745
Entity
Organization

Contact information

Practice address
14771 BISCAYNE BLVD., NORTH MIAMI BEACH, FL 33181
(305) 945-7745
(305) 945-7740
Mailing address
14771 BISCAYNE BLVD., NORTH MIAMI BEACH, FL 33181
(305) 945-7745
(305) 945-7740

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16637
FL

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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