Organization
ESTHETIC DENTAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ILVAIN R HECHAVARRIA (VICE-PRESIDENT)
(305) 448-3698
Entity
Organization
Contact information
Practice address
3735 SW 8TH ST, SUITE 202, MIAMI, FL 33134
(305) 448-3698
(305) 448-6117
Mailing address
3735 SW 8TH ST, SUITE 202, MIAMI, FL 33134
(305) 448-3698
(305) 448-6117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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