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9700 S Dixie Hwy Ste 910 Miami FL 33156-2865 | |
| (786) 703-4978 | |
| (786) 616-8588 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9700 S Dixie Hwy Ste 910, Miami, Florida |
| Authorized Official Name and Position | Sandra Sandra Diaz (PRESIDENT) |
| Authorized Official Contact | 7867034978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9700 S Dixie Hwy Ste 910 Miami FL 33156-2865 Ph: (786) 703-4978 | 9700 S Dixie Hwy Ste 910 Miami FL 33156-2865 Ph: (786) 703-4978 |
| NPI Number | 1700404613 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700404613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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