Individual
TAMAR JUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
261 NW 149TH ST, MIAMI, FL 33168-4215
(305) 305-3053
Mailing address
261 NW 149TH ST, MIAMI, FL 33168-4215
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
FL
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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