MODERNA SMILE OF SUNSET CORP

MIAMI, FL
NPI1699366641
Entity TypeOrganization
Authorized ContactJUAN CARLOS IZQUIERDO
President
305-596-7155
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2021-02-02
Last Update Date2021-02-02
Business Address
MODERNA SMILE OF SUNSET CORP
10728 SW 72ND ST
MIAMI, FL 33173-2702
Phone number: 305-596-7155
Mailing Address
MODERNA SMILE OF SUNSET CORP
5246 SW 8TH ST
CORAL GABLES, FL 33134-2375
Phone number:
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