| Gomara Dmd & Salcines Dmd Pa | |
|
13706 Sw 56th St Suite 201 Miami FL 33175-6029 | |
| (305) 387-4954 | |
| (305) 387-7023 |
| Full Name | Gomara Dmd & Salcines Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13706 Sw 56th St, Miami, Florida |
| Authorized Official Name and Position | Damaris Gomara Salcines (PRESIDENT) |
| Authorized Official Contact | 7862432438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gomara Dmd & Salcines Dmd Pa 13706 Sw 56th St Suite 201 Miami FL 33175-6029 Ph: (305) 387-4954 | Gomara Dmd & Salcines Dmd Pa 13706 Sw 56th St Suite 201 Miami FL 33175-6029 Ph: (305) 387-4954 |
| NPI Number | 1003004300 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003004300 | NPI | - | NPPES |
| 42107 | Other | FL | ADI PROVIDER NUMBER |
| 908 | Other | FL | MCNA PROVIDER NUMBER |
| 074959100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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