Organization
DENTAL COSMETIC MIAMI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENEISY DIAZ (MANAGER)
(305) 316-4196
Entity
Organization
Contact information
Practice address
266 E 49TH ST, HIALEAH, FL 33013-1855
(305) 823-9982
(786) 796-2270
Mailing address
266 E 49TH ST, HIALEAH, FL 33013-1855
(305) 823-9982
(786) 796-2270
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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