Organization
IVAN TERRERO DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN EDUARDO TERRERO DDS (PRESIDENT)
(917) 796-7624
Entity
Organization
Contact information
Practice address
15436-7 NW 77TH COURT, #150 & 160, MIAMI LAKES, FL 33016
(305) 557-5775
Mailing address
555 WASHINGTON AVE, STE 350, MIAMI, FL 33139-6643
(305) 604-5707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17477
FL
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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