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Organization

GABLES DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MALISSA VACHARAKIAT DMD (DENTIST)
(305) 443-7501
Entity
Organization

Contact information

Practice address
3815 SW 8TH ST, CORAL GABLES, FL 33134-3001
(305) 443-7501
Mailing address
3815 SW 8TH ST, CORAL GABLES, FL 33134-3001
(305) 443-7501

Taxonomy

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

Other

Enumeration date
11/19/2007
Last updated
11/19/2007
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