Individual
AVERY SLADE RUBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
610 NE 124TH ST, NORTH MIAMI, FL 33161-5523
(305) 893-5433
Mailing address
610 NE 124TH ST, NORTH MIAMI, FL 33161-5523
(305) 893-5433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 21986
FL
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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