NPI 1205224011

Joel Vaccarezza, DDS

Practitioner General Practice Dentistry Miami Shores, FL

Practice location

Address: 9999 NE 2nd Ave Suite #308, Miami Shores, FL 33138-2352
Phone: (305) 757-6991

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN 17034 (FL)

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Registry record

NPI: 1205224011
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Dec 2014
Record last updated: 31 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.