Miami Lakes Periodontal and Cosmetic Center

NPI #1497001259 in Miami Lakes, Florida

Provider Information

NPI Number: 1497001259
Entity Type: Organization
Organization Name: Miami Lakes Periodontal and Cosmetic Center
Primary Specialty: Dentist
Enumeration Date: Jul 31, 2012
Last Updated: Jul 31, 2012

Practice Location

Address: 7735 NW 146TH ST STE 104
City: Miami Lakes
State: Florida
ZIP Code: 33016-1583
Phone: (305) 556-7010

Authorized Official

Name: MR. ROBERT DEL CASTILLO, D.M.S
Title: OWNER
Phone: (305) 556-7010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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