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General NPI Number Information
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NPI Number | 1871796284
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Entity Type | Organization
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Legal Business Name | MARIAMILAGROS SARDA DDA PA
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 299 ALHAMBRA CIRCLE SUITE 205
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-443-4841
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Fax | 305-443-4808
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Provider Business Mailing Address
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Address Line | 299 ALHAMBRA CIRCLE SUITE 205
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-443-4841
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Fax | 305-443-4808
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | MARIAMILAGROS SARDA
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Credential | DDS, PA
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Telephone | 305-443-4841
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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 | DN12064
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License Number State | FL
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