Individual
MAAYAN BEN SHALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11760 SW 40TH ST STE 540, MIAMI, FL 33175-8100
(305) 928-4200
Mailing address
PO BOX 1328, HALLANDALE, FL 33008-1328
(954) 693-6367
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18728
FL
Other
Enumeration date
09/10/2009
Last updated
01/13/2021
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