Live Implants Corp
NPI #1033780895 in Palmetto Bay, Florida
Provider Information
- NPI Number
- 1033780895
- Entity Type
- Organization
- Organization Name
- Live Implants Corp
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Jul 2, 2021
- Last Updated
- Jul 2, 2021
Practice Location
- Address
- 18001 OLD CUTLER RD STE 405
- City
- Palmetto Bay
- State
- Florida
- ZIP Code
- 33157-6434
- Phone
- (786) 249-4514
Authorized Official
- Name
- VIRGILIO J MONGALO, DMD
- Title
- DOCTOR
- Phone
- (786) 249-4514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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