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Organization
SIERRA DENTAL INC
Active
Organization
SIERRA DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS L SIERRA DDS (OWNER)
(954) 351-6980
Entity
Organization
Contact information
Practice address
4001 N OCEAN DR, SUITE #202, LAUDERDALE BY THE SEA, FL 33308-5968
(954) 351-6980
(954) 351-7927
Mailing address
4001 N OCEAN DR, SUITE 202, LAUDERDALE BY THE SEA, FL 33308-5968
(954) 351-6980
(954) 351-7927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12206
FL
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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