Dental Specialist of Doral

NPI #1124377916 in Doral, Florida

Provider Information

NPI Number: 1124377916
Entity Type: Organization
Organization Name: Dental Specialist of Doral
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 7, 2012
Last Updated: Sep 7, 2012

Practice Location

Address: 10305 NW 41ST ST
Address 2: 207
City: Doral
State: Florida
ZIP Code: 33178-2396
Phone: (786) 355-4401

Authorized Official

Name: EVELYN MARTINEZ
Title: PARTNER/OFFICE MANAGER
Phone: (786) 355-4401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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