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General NPI Number Information
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NPI Number | 1265224976
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Entity Type | Organization
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Legal Business Name | MILA DENTAL CARE LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 11130 SW 88TH ST STE 100
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City | MIAMI
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State | FL
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Zip | 33176-0939
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Country | US
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Telephone | 305-598-3849
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 SW 122ND AVE
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City | MIAMI
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State | FL
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Zip | 33175-2239
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Country | US
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Telephone | 786-797-1280
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | DR. MILAIDYS PEDRAJA
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Credential | DMD
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Telephone | 786-797-1280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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