D. G. Grandal Dds, Corp | |
13055 Sw 42nd St Ste 206 Miami FL 33175-3410 | |
(305) 846-9669 | |
Not Available |
Full Name | D. G. Grandal Dds, Corp |
---|---|
Speciality | Clinic/center - Dental |
Location | 13055 Sw 42nd St Ste 206, Miami, Florida |
Authorized Official Name and Position | Delio Garcia (PRESIDENT) |
Authorized Official Contact | 7865562950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
D. G. Grandal Dds, Corp 4605 Sw 140th Ct Miami FL 33175-3631 Ph: () - | D. G. Grandal Dds, Corp 13055 Sw 42nd St Ste 206 Miami FL 33175-3410 Ph: (305) 846-9669 |
NPI Number | 1255806592 |
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Provider Enumeration Date | 10/12/2018 |
Last Update Date | 10/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255806592 | NPI | - | NPPES |
1790006823 | Other | FL | GENERAL PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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