Individual
IVIS TAMARGO ECHEVERRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15105 SW 31ST TER, MIAMI, FL 33185-4904
(786) 413-7165
Mailing address
15105 SW 31ST TER, MIAMI, FL 33185-4904
(786) 413-7165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25410
FL
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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