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12035 S Dixie Hwy Suite 100 Miami FL 33156-5234 | |
| (305) 233-8000 | |
| (305) 230-3505 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12035 S Dixie Hwy, Miami, Florida |
| Authorized Official Name and Position | Arthur Shapiro (PRESIDENT) |
| Authorized Official Contact | 3052338000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12035 S Dixie Hwy Suite 100 Miami FL 33156-5234 Ph: (305) 233-8000 | 12035 S Dixie Hwy Suite 100 Miami FL 33156-5234 Ph: (305) 233-8000 |
| NPI Number | 1154714806 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 03/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154714806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN0010158 (Florida) | Primary |
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