Most Relevant Information
Provider Data
| NPI Number: | 1003834037 |
| Provider Name: | EDUARDO R NORTHLAND D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN0012377 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2825 S.W. 22 STREET
CORAL GABLES
FL
331453203
Practice Location Phone/Fax
| Phone: | 3054481172 |
| Fax: | 3054462724 |
Provider Mailing Location
2825 CORAL WAY
CORAL GABLES
FL
331453203
Provider Mailing Phone/Fax
| Phone: | 3054481172 |
| Fax: | 3054462724 |