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1699366641
MODERNA SMILE OF SUNSET CORP
MIAMI, FL
NPI
1699366641
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Entity Type
Organization
Authorized Contact
JUAN CARLOS IZQUIERDO
President
305-596-7155
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 SUNSET CORP
10728 SW 72ND ST
MIAMI, FL 33173-2702
Phone number: 305-596-7155
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Mailing Address
MODERNA SMILE OF SUNSET CORP
5246 SW 8TH ST
CORAL GABLES, FL 33134-2375
Phone number:
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