Ivan Terrero Dds Pa | |
15436-7 Nw 77th Court #150 & 160 Miami Lakes FL 33016 | |
(305) 557-5775 | |
Not Available |
Full Name | Ivan Terrero Dds Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 15436-7 Nw 77th Court, Miami Lakes, Florida |
Authorized Official Name and Position | Ivan Eduardo Terrero (PRESIDENT) |
Authorized Official Contact | 9177967624 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ivan Terrero Dds Pa 555 Washington Ave Ste 350 Miami FL 33139-6643 Ph: (305) 604-5707 | Ivan Terrero Dds Pa 15436-7 Nw 77th Court #150 & 160 Miami Lakes FL 33016 Ph: (305) 557-5775 |
NPI Number | 1760642284 |
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Provider Enumeration Date | 06/10/2008 |
Last Update Date | 06/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760642284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN17477 (Florida) | Primary |
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