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1023677283
DANIEL DE LA FUENTE BALBOA
MIAMI, FL
NPI
1023677283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN24143)
Enumeration Date
2019-06-11
Last Update Date
2019-06-11
Business Address
DANIEL DE LA FUENTE BALBOA DMD
12350 SW 127TH AVE
MIAMI, FL 33186-6595
Phone number: 305-232-2227
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Mailing Address
DANIEL DE LA FUENTE BALBOA DMD
6060 SW 62ND PL
SOUTH MIAMI, FL 33143-2170
Phone number: 786-234-7051
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