Organization
BALMIR-THEVENIN & ASSOCIATES D.D.S., P.A.,
Active
Other names
Balmir-Thevenin & Associates D.D.S., P.A.,
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOELLE MARIE BALMIR-THEVENIN DDS (DENTIST/OWNER)
(305) 271-0510
Entity
Organization
Contact information
Practice address
10621 N KENDALL DR, SUITE # 102, MIAMI, FL 33176-8708
(305) 271-0510
(305) 271-3532
Mailing address
10621 N KENDALL DR, SUITE # 102, MIAMI, FL 33176-8708
(305) 271-0510
(305) 271-3532
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0013260
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
BC1102336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071317100
—
FL
01
—
1972618361
NPI
FL
Enumeration date
09/21/2009
Last updated
09/21/2009
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