Organization
SCLAR ORAL SURGERY PA
Active
Other names
South Florida OMS
Organization subpart
No
Provider details
NPI number
Authorized official
RANDENA LEONARD (ADMINISTRATOR)
(305) 661-5297
Entity
Organization
Contact information
Practice address
7600 S RED RD, SUITE 101, SOUTH MIAMI, FL 33143-5428
(305) 661-5297
(305) 667-3503
Mailing address
7600 S RED RD, SUITE 101, SOUTH MIAMI, FL 33143-5428
(305) 661-5297
(305) 667-3503
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0010151
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN8052
FL
Other
Enumeration date
06/16/2006
Last updated
01/22/2013
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