Moderna Smile Of Kendall Corp | |
13632 N Kendall Dr Miami FL 33186-1567 | |
(305) 385-1442 | |
Not Available |
Full Name | Moderna Smile Of Kendall Corp |
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Speciality | Clinic/center - Dental |
Location | 13632 N Kendall Dr, Miami, Florida |
Authorized Official Name and Position | Juan Carlos Izquierdo (PRESIDENT) |
Authorized Official Contact | 3053851442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Moderna Smile Of Kendall Corp 5246 Sw 8th St Coral Gables FL 33134-2375 Ph: () - | Moderna Smile Of Kendall Corp 13632 N Kendall Dr Miami FL 33186-1567 Ph: (305) 385-1442 |
NPI Number | 1639760689 |
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Provider Enumeration Date | 02/02/2021 |
Last Update Date | 02/02/2021 |
Identifier | Type | State | Issuer |
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1639760689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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