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927 Sw 122nd Ave Miami FL 33184-2477 | |
| (305) 559-3870 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 927 Sw 122nd Ave, Miami, Florida |
| Authorized Official Name and Position | Yaneisy Izquierdo (DENTIST) |
| Authorized Official Contact | 3055593870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
927 Sw 122nd Ave Miami FL 33184-2477 Ph: (305) 559-3870 | 927 Sw 122nd Ave Miami FL 33184-2477 Ph: (305) 559-3870 |
| NPI Number | 1962876995 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 11/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962876995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN19502 (Florida) | Primary |
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