Organization
ESTRELLA DENTAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISCARY FUERTES RUFIN DDS (OWNER)
(305) 275-0500
Entity
Organization
Contact information
Practice address
4795 W FLAGLER ST, CORAL GABLES, FL 33134-1470
(305) 275-0500
Mailing address
4795 W FLAGLER ST, CORAL GABLES, FL 33134-1470
(305) 275-0500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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