Organization
CORAL GABLES VISTA DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA DE LA BARCA DOMINGUEZ DDS (DENTIST)
(305) 305-5830
Entity
Organization
Contact information
Practice address
7171 CORAL WAY STE 217, MIAMI, FL 33155-1691
(305) 305-5830
Mailing address
6891 SW 51ST ST, MIAMI, FL 33155-5707
(305) 305-5830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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