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400 Sw 27th Ave Miami FL 33135-2904 | |
| (305) 456-8046 | |
| (305) 456-8824 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 400 Sw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Gerardo Gomez (OFFICE MANAGER) |
| Authorized Official Contact | 3054568046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
400 Sw 27 Ave Miami FL 33135 Ph: (305) 456-8046 | 400 Sw 27th Ave Miami FL 33135-2904 Ph: (305) 456-8046 |
| NPI Number | 1891024667 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891024667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Florida) | Primary |
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