Individual
MR. CHANDY SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6670 SW 117 AVE, MIAMI, FL 33183
(305) 595-3400
(305) 596-3352
Mailing address
6670 SW 117 AVE, MIAMI, FL 33183
(305) 595-3400
(305) 596-3352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17317
FL
1223G0001X
General Practice Dentistry
DN71737
FL
Other
Enumeration date
05/03/2007
Last updated
03/14/2014
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