Organization
FREDDY GUERRERO DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDY GUERRERO (AUTHORIZED OFFICIAL)
(305) 722-0605
Entity
Organization
Contact information
Practice address
3650 NW 82ND AVE, DORAL, FL 33166-6658
(305) 722-0605
Mailing address
3650 NW 82ND AVE, DORAL, FL 33166-6658
(305) 722-0605
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN11602
LICENSE
FL
Enumeration date
07/03/2020
Last updated
07/03/2020
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