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Individual

DR. JUAN MANUEL OJEDA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
17301 NW 27TH AVE, MIAMI GARDENS, FL 33056-4001
(305) 624-1371
Mailing address
103 RANCH RD, WINTER PARK, FL 32792-5712
(407) 797-1543

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN19477
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004452600
FL
Enumeration date
06/06/2011
Last updated
06/30/2016
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