Individual
MARIO ONATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
149 W 21ST ST, HIALEAH, FL 33010-2615
(305) 775-6486
Mailing address
611 NW 82ND AVE APT 314, MIAMI, FL 33126-6903
(305) 775-6486
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23668
FL
Other
Enumeration date
06/17/2016
Last updated
09/10/2019
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