Individual
MS. MARIAGERMAINE MENDIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
17720 SW 144TH AVE, MIAMI, FL 33177-2672
(305) 479-9871
Mailing address
17720 SW 144TH AVE, MIAMI, FL 33177-2672
(305) 479-9871
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH23141
FL
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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