Individual
MINA GHORBANIFARAJZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
757 W 41ST ST, MIAMI BEACH, FL 33140-3413
(305) 672-4444
Mailing address
1920 NE 210TH ST, MIAMI, FL 33179-1521
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
24114
FL
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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