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1639760689
MODERNA SMILE OF KENDALL CORP
MIAMI, FL
NPI
1639760689
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Entity Type
Organization
Authorized Contact
JUAN CARLOS IZQUIERDO
President
305-385-1442
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-02-02
Last Update Date
2021-02-02
Business Address
MODERNA SMILE OF KENDALL CORP
13632 N KENDALL DR
MIAMI, FL 33186-1567
Phone number: 305-385-1442
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Mailing Address
MODERNA SMILE OF KENDALL CORP
5246 SW 8TH ST
CORAL GABLES, FL 33134-2375
Phone number:
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