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9971 W Flagler St 220 Miami FL 33174-1810 | |
| (786) 418-3074 | |
| (786) 619-3746 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9971 W Flagler St, Miami, Florida |
| Authorized Official Name and Position | Katie L Mccann (OWNER) |
| Authorized Official Contact | 7864183074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | 9971 W Flagler St 220 Miami FL 33174-1810 Ph: (786) 418-3074 |
| NPI Number | 1518322023 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518322023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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