Organization
BALBOA AND ASSOCIATES DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL G BALBOA DMD (DENTIST)
(305) 503-5122
Entity
Organization
Contact information
Practice address
14527 SW 42ND ST, MIAMI, FL 33175-7801
(305) 503-5122
(305) 328-9636
Mailing address
14527 SW 42ND ST, MIAMI, FL 33175-7801
(305) 503-5122
(305) 328-9636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20434
FL
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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