Provider First Line Business Practice Location Address:
14270 SW 33RD ST
Provider Second Line Business Practice Location Address:
ORAL SURGERY AND GENERAL DENTISTRY
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33175-6774
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-381-5370
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2009