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11865 Sw 26th Street Ste G10 Miami FL 33175 | |
| (305) 222-1150 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11865 Sw 26th Street Ste G10, Miami, Florida |
| Authorized Official Name and Position | Mirilis M Rodriguez (DENTIST) |
| Authorized Official Contact | 3052221150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1322 Sw 154 Ave Miami FL 33194 Ph: (305) 227-2424 | 11865 Sw 26th Street Ste G10 Miami FL 33175 Ph: (305) 222-1150 |
| NPI Number | 1801921671 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801921671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN16058 (Florida) | Primary |
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