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13400 Sw 120th St Ste 310 Miami FL 33186-7440 | |
| (305) 255-9541 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13400 Sw 120th St, Miami, Florida |
| Authorized Official Name and Position | Stephanie Gomez (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13195 Sw 134th St Fl 2 Miami FL 33186-4461 Ph: (305) 274-2499 | 13400 Sw 120th St Ste 310 Miami FL 33186-7440 Ph: (305) 255-9541 |
| NPI Number | 1174859896 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174859896 | NPI | - | NPPES |
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