| Moderna Smile Of Sunset Corp | |
|
10728 Sw 72nd St Miami FL 33173-2702 | |
| (305) 596-7155 | |
| Not Available |
| Full Name | Moderna Smile Of Sunset Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10728 Sw 72nd St, Miami, Florida |
| Authorized Official Name and Position | Juan Carlos Izquierdo (PRESIDENT) |
| Authorized Official Contact | 3055967155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moderna Smile Of Sunset Corp 5246 Sw 8th St Coral Gables FL 33134-2375 Ph: () - | Moderna Smile Of Sunset Corp 10728 Sw 72nd St Miami FL 33173-2702 Ph: (305) 596-7155 |
| NPI Number | 1699366641 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699366641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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