Organization
EASTRIVER INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA CUEVAS (CREDENTIALING/ INSURANCE)
(305) 923-2943
Entity
Organization
Contact information
Practice address
555 WASHINGTON AVE, SUITE 350, MIAMI BEACH, FL 33139-6607
(305) 604-5707
Mailing address
9507 S DIXIE HWY, PINECREST, FL 33156-2802
(305) 604-5707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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