Individual
MS. MOR DAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1711 NE 197TH TER, MIAMI, FL 33179-3147
(305) 931-2090
Mailing address
1711 NE 197TH TER, MIAMI, FL 33179-3147
(786) 251-7422
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN21509
FL
390200000X
Student in an Organized Health Care Education/Training Program
42588442
FL
Other
Enumeration date
03/09/2015
Last updated
07/10/2023
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