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Organization
SOUTH PEARL DENTAL, INC
Active
Organization
SOUTH PEARL DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANGEL FERNANDEZ-MARTINEZ DMD (PRESIDENT/OWNER)
(352) 727-8547
Entity
Organization
Contact information
Practice address
8903 GLADES RD STE A7, BOCA RATON, FL 33434-4023
(352) 727-8547
Mailing address
8665 VIA ANCHO RD, BOCA RATON, FL 33433-2227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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