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Organization

ORAL SURGERY & IMPLANT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRED PEDROLETTI DMD (OWNER)
(305) 667-1191
Entity
Organization

Contact information

Practice address
7231 SW 63RD AVE, SOUTH MIAMI, FL 33143-4809
(305) 667-1191
(305) 667-2712
Mailing address
7231 SW 63RD AVE, SOUTH MIAMI, FL 33143-4809
(305) 667-1191
(305) 667-2712

Taxonomy

Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary

Other

Enumeration date
09/04/2018
Last updated
04/14/2020
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