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Provider Information for 1578940912



MIRTHA AMADOR DMD, PA

Gender: FEMALE

Individual NPI: 1578940912

Calendar Last Updated: 2015-05-06

Details

Name Value
NPI 1578940912
Enumeration Date 2015-05-06
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 357 ALMERIA AVE STE 105
CORAL GABLES, FL 33134-5801
United States

Phone: 305-569-9001 | Fax: 305-444-9882
View Map External Link
Primary Practice Address 357 ALMERIA AVE STE 105
CORAL GABLES, FL 33134-5801
United States

Phone: 305-569-9001 | Fax: 305-444-9882
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist FL 13027
Other Identifiers
Issuer State Number