Individual
MAIKEL ROQUE RUANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6085 BIRD RD #200, ENDODONTIC SPECIALISTS, MIAMI, FL 33155
(305) 665-3433
(305) 667-3775
Mailing address
6085 BIRD RD STE 200, MIAMI, FL 33155-5254
(305) 665-3433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021373
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/10/2011
Last updated
02/14/2021
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