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6641-a South Dixie Highway Miami FL 33143-7919 | |
| (305) 667-0306 | |
| (305) 667-0368 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6641-a South Dixie Highway, Miami, Florida |
| Authorized Official Name and Position | Mario Kenneth Garcia (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3056670306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6641-a South Dixie Highway Miami FL 33143-7919 Ph: (305) 667-0306 | 6641-a South Dixie Highway Miami FL 33143-7919 Ph: (305) 667-0306 |
| NPI Number | 1811912660 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811912660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN12696 (Florida) | Primary |
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