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10511 Sw 88th St Ste C101 Miami FL 33176-1537 | |
| (786) 507-1551 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 10511 Sw 88th St Ste C101, Miami, Florida |
| Authorized Official Name and Position | Mario Carbot (GENERAL DENTIST) |
| Authorized Official Contact | 7865071551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10511 Sw 88th St Ste C101 Miami FL 33176-1537 Ph: (786) 507-1551 | 10511 Sw 88th St Ste C101 Miami FL 33176-1537 Ph: (786) 507-1551 |
| NPI Number | 1972095354 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972095354 | NPI | - | NPPES |
| DN17467 | Other | FL | DENTAL LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN17467 (Florida) | Primary |
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