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Organization

SOUTHEASTRERN DENTAL ASSOC, VII, PA

Active
Parent organization
SOUTHEASTERN DENTAL ASSOC. I, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHEASTERN DENTAL ASSOC. I, PA
Authorized official
DR. KENNETH D RUBINSTEIN D.M.D (PRESIDENT)
(305) 866-7127
Entity
Organization

Contact information

Practice address
2482 SW 27TH TER, MIAMI, FL 33133-3119
(305) 859-7949
(305) 866-7127
Mailing address
2482 SW 27TH TER, MIAMI, FL 33133-3119
(305) 859-7949
(305) 866-7127

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN 14485
FL

Other

Enumeration date
01/19/2010
Last updated
01/19/2010
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