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Organization

FAMILY & COSMETIC DENTISTRY

Active
Other names
Gomara DMD& Salcines DMD PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAMARIS GOMARA SALCINES D.M.D (PRESIDENT)
(786) 243-2438
Entity
Organization

Contact information

Practice address
125 NE 8TH ST, SUIT # 1, HOMESTEAD, FL 33030-4676
(786) 243-2438
(305) 247-5744
Mailing address
125 NE 8TH ST, SUIT # 1, HOMESTEAD, FL 33030-4676
(786) 243-2438
(305) 247-5744

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19768
ASURANT PROVIDER NUMBER
FL
01
42108
ADI PROVIDER NUMBER
FL
01
909
MCNA FACILITY NUMBER
FL
Enumeration date
08/09/2006
Last updated
08/11/2008
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