IVETTE GUILLERMO DMD PA
Dentist at 24 St, Miami, FL

License number
Florida DN15614
Category
Dentist
Type
Dentist
Owner
Name: DR. IVETTE GUILLERMO DMD
Title: DENTIST
Phone: (305) 220-3777
Address
Address
10768 SW 24Th St, Miami, FL 33165
National Provider ID: 1407144512
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about IVETTE GUILLERMO DMD PA at bizstanding.com

IVETTE GUILLERMO DMD, PA

Miami, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Apr 26, 2002
Inactive since:
Feb 22, 2014
Addresses:
10768 SW 24, Miami, FL 33165 (Physical)
10768 SW 24 St, Miami, FL 33165
State ID:
P02000046003
Business type:
Florida Profit Corporation
Director:
Ivette Guillermo (Director), 9339 NW 48 Doral Ter, Miami, FL 33178 (Physical)
Agent:
Guillermo, Ivette,9339 NW 48 Doral Ter, Miami, FL 33178 (Physical)
EIN:
03-0439041

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