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1508200635
MAURO CARBALLO
MIAMI GARDENS, FL
NPI
1508200635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN 21572)
Enumeration Date
2013-04-19
Last Update Date
2024-04-26
Business Address
MAURO CARBALLO
900 PARK CENTRE BLVD STE 400A
MIAMI GARDENS, FL 33169-5371
Phone number: 305-912-8603
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Mailing Address
MAURO CARBALLO
3165 SW 108TH AVE
MIAMI, FL 33165-2449
Phone number: 305-215-8236
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