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Individual

JUAN CARLOS IZQUIERDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2601 SW 37TH AVE STE 702, MIAMI, FL 33133-2750
(305) 446-7277
Mailing address
2601 SW 37TH AVE STE 702, MIAMI, FL 33133-2750
(305) 446-7277

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25502
FL

Other

Enumeration date
09/29/2020
Last updated
03/12/2021
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