Individual
DR. ADRIAN JASEN CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
336 ALHAMBRA CIR, CORAL GABLES, FL 33134-5004
(305) 442-1177
Mailing address
11866 SW 93RD TER, MIAMI, FL 33186-2169
(305) 331-1811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN1855803
MA
1223G0001X
General Practice Dentistry
Primary
DN19553
FL
Other
Enumeration date
09/08/2011
Last updated
03/18/2013
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