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Individual

RICHARD MAUTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
925 ARTHUR GODFREY RD STE 207, MIAMI BEACH, FL 33140-3338
(305) 531-0841
(305) 531-2808
Mailing address
925 ARTHUR GODFREY RD, SUITE #207, MIAMI BEACH, FL 33140-3325
(305) 531-0841
(305) 531-2808

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6909
FL

Other

Enumeration date
12/06/2013
Last updated
01/07/2014
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