Mayra Fandino

NPI #1396775557 in Hialeah, Florida

Provider Information

NPI Number: 1396775557
Entity Type: Individual
Name: Mayra Fandino
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 445 E 25TH ST
City: Hialeah
State: Florida
ZIP Code: 33013-3810
Phone: (305) 642-5366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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