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General NPI Number Information
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NPI Number | 1467335604
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Entity Type | Organization
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Legal Business Name | PERFECT SMILE AT MIAMI LAKES
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 18652 NW 67TH AVE
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City | HIALEAH
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State | FL
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Zip | 33015-2406
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Country | US
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Telephone | 305-474-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 11351 SW 3RD ST
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City | PLANTATION
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State | FL
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Zip | 33325-2903
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Country | US
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Telephone | 954-918-6448
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARLOS A PEREZ RAMIREZ
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Credential | DMD
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Telephone | 954-918-6448
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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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