Organization
DENTIXTA AT BIRD ROAD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSJANY MORA DDS (OWNER)
(305) 553-3683
Entity
Organization
Contact information
Practice address
8372 SW 40TH ST, MIAMI, FL 33155-3355
(305) 553-3683
Mailing address
8372 SW 40TH ST, MIAMI, FL 33155-3355
(305) 553-3683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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