Organization
GANDARA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA T. GANDARA DDS (OWNER/DENTIST)
(857) 249-8324
Entity
Organization
Contact information
Practice address
13728 SW 84TH ST, MIAMI, FL 33183-4000
(305) 456-7383
(305) 676-9028
Mailing address
13728 SW 84TH ST, MIAMI, FL 33183-4000
(305) 456-7383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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