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14779 Sw 184th St Miami FL 33187-4114 | |
| (786) 592-1617 | |
| (786) 209-0545 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 14779 Sw 184th St, Miami, Florida |
| Authorized Official Name and Position | Marcio Somoza (DOCTOR) |
| Authorized Official Contact | 7865921617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14779 Sw 184th St Miami FL 33187-4114 Ph: (786) 592-1617 | 14779 Sw 184th St Miami FL 33187-4114 Ph: (786) 592-1617 |
| NPI Number | 1245787639 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 09/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245787639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN11371 (Florida) | Primary |
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