Individual
AXEL SEBASTIAN BENJAMIN MANCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8370 W FLAGLER ST STE 230, MIAMI, FL 33144-2040
(305) 562-7033
Mailing address
6702 NW 112TH AVE, DORAL, FL 33178-3713
(305) 562-7033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN27979
FL
Other
Enumeration date
06/01/2023
Last updated
06/13/2023
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