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9541 Sw 72nd St Miami FL 33173-3247 | |
| (305) 595-1239 | |
| (305) 595-1241 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 9541 Sw 72nd St, Miami, Florida |
| Authorized Official Name and Position | Richard Ignacio Coba (GENERAL DENTIST/ PRESIDENT) |
| Authorized Official Contact | 3059037800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9541 Sw 72nd St Miami FL 33173-3247 Ph: (305) 595-1239 | 9541 Sw 72nd St Miami FL 33173-3247 Ph: (305) 595-1239 |
| NPI Number | 1770992901 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770992901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN18886 (Florida) | Primary |
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