Organization
DENTIST AT MARKET SQUARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REINALDO SANCHEZ D.M.D. (DENTIST/OWNER)
(786) 476-3583
Entity
Organization
Contact information
Practice address
11770 SW 104TH ST, MIAMI, FL 33186-3601
(786) 476-3583
(786) 476-3586
Mailing address
11770 SW 104TH ST, MIAMI, FL 33186-3601
(786) 476-3583
(786) 476-3586
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15236
FL
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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