Organization
DENTAL SPECIALISTS OF CORAL GABLES GROUP CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN MARTINEZ (ADMINISTARTOR)
(305) 305-9601
Entity
Organization
Contact information
Practice address
2645 SW 37TH AVE, MIAMI, FL 33133-2754
(305) 305-9601
Mailing address
2645 SW 37TH AVE STE 303, MIAMI, FL 33133-2744
(305) 305-9601
(305) 593-6520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10709
FL
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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