Organization
DADE COUNTY DENTAL RESEARCH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DEPORTER (DIRECTOR)
(305) 324-6070
Entity
Organization
Contact information
Practice address
750 NW 20TH ST, MIAMI, FL 33127-4618
(305) 324-6070
Mailing address
750 NW 20TH ST, MIAMI, FL 33127-4618
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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