Organization
CORAL GABLES DENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO CARBALLO DDS (OWNER)
(305) 444-8591
Entity
Organization
Contact information
Practice address
747 PONCE DE LEON BLVD STE 401, CORAL GABLES, FL 33134-2073
(305) 444-8591
(305) 444-6988
Mailing address
747 PONCE DE LEON BLVD STE 401, CORAL GABLES, FL 33134-2073
(305) 444-8591
(305) 444-6988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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