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15721 Sw 152nd St Miami FL 33187-5417 | |
| (305) 233-3335 | |
| (305) 233-3909 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 15721 Sw 152nd St, Miami, Florida |
| Authorized Official Name and Position | Nick Lekkas (OWNER) |
| Authorized Official Contact | 9543834973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15721 Sw 152nd St Miami FL 33187-5417 Ph: (305) 233-3335 | 15721 Sw 152nd St Miami FL 33187-5417 Ph: (305) 233-3335 |
| NPI Number | 1467737304 |
|---|---|
| Provider Enumeration Date | 10/11/2011 |
| Last Update Date | 01/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467737304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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