MODERNA SMILE OF GALLOWAY CORP

MIAMI, FL
NPI1104417153
Entity TypeOrganization
Authorized ContactJUAN CARLOS IZQUIERDO
President
305-273-9330
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2021-02-02
Last Update Date2021-02-02
Business Address
MODERNA SMILE OF GALLOWAY CORP
8718 SW 72ND ST
MIAMI, FL 33173-3512
Phone number: 305-273-9330
Mailing Address
MODERNA SMILE OF GALLOWAY CORP
5246 SW 8TH ST
CORAL GABLES, FL 33134-2375
Phone number:
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