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13400 Sw 134th Ave Suite 310 Miami FL 33186-4523 | |
| (305) 255-3986 | |
| (305) 255-9541 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13400 Sw 134th Ave, Miami, Florida |
| Authorized Official Name and Position | Melvyn Gober (CEO) |
| 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 134th Ave Suite 310 Miami FL 33186-4523 Ph: (305) 255-3986 |
| NPI Number | 1467782839 |
|---|---|
| Provider Enumeration Date | 01/07/2010 |
| Last Update Date | 08/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467782839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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