BETHANNE KLUGERMAN DMD PA
Dentist at 124 Ave, Miami, FL

License number
Florida DN00009344
Category
Ambulatory Health
Type
Dental
Owner
Name: DR. BETHANNE T KLUGERMAN DMD
Title: PRESIDENT
Phone: (305) 274-6500
Address
Address
8501 SW 124Th Ave SUITE 104, Miami, FL 33183
National Provider ID: 1487705646
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BETHANNE KLUGERMAN, D.M.D., PA

Miami, FL

Registration:
Sep 24, 1991
Addresses:
8501 SW 124 Ave SUITE 104, Miami, FL 33183 (Physical)
16105 NE 18 Ave, Miami, FL 33162 (Mailing)
State ID:
S82443
Business type:
Florida Profit Corporation
President, Director:
Bethanne Klugerman (President, Director), 8501 SW 124 Ave SUITE 104, Miami, FL 33183 (Physical)
Agent:
Victor Rones,16105 NE 18 Ave, Miami, FL 33162 (Physical)
EIN:
650290604

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