Organization
SPECIALIZED DENTISTRY OF MIAMI, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMAEL EL KHOULY CASTILLA DDS, MS, PHD (PRESIDENT)
(917) 279-0899
Entity
Organization
Contact information
Practice address
2020 SW 27TH AVE, MIAMI, FL 33145-2541
(917) 279-0899
Mailing address
2020 SW 27TH AVE, MIAMI, FL 33145-2541
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
04/30/2021
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