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1952425639
JUAN CARLOS PORTUONDO
HIALEAH, FL
NPI
1952425639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: FL DN 10130)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- JUAN CARLOS PORTUONDO DDS
7150 W 20TH AVE STE 102
HIALEAH, FL 33016-5509
Phone number: 305-556-5600
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Mailing Address
-- JUAN CARLOS PORTUONDO DDS
165 W MCINTYRE ST
KEY BISCAYNE, FL 33149-1861
Phone number:
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