| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GUSTAVO PIEDRA | 1538792635 | 2020-02-17 |
Gustavo Piedra is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538792635. Registration indicates Gustavo Piedra is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Gustavo Piedra DDS |
| Practice Office Address | 9777 SW 72ND ST MIAMI, FL US |
| Practice Office Telephone | 3055962815 |
| Mailing Address | 4578 SW 174TH AVE MIRAMAR, FL 330295618 US |
| Business Telephone | 7864865553 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | DN26816
FL |