Individual
DR. MARIO E IRAHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1246 W. 68 ST., HIALEAH, FL 33014
(305) 556-6100
(305) 556-4799
Mailing address
343 IVES DAIRY RD., NORTH MIAMI BEACH, FL 33179
(786) 229-7011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16637
FL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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