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Organization
MADISON DENTISTRY LLC
Active
Organization
MADISON DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZZETT MUJICA DDS (PRESIDENT)
(305) 799-0654
Entity
Organization
Contact information
Practice address
1680 SW NEWLAND WAY STE 100, LAKE CITY, FL 32025-6917
(386) 752-1342
Mailing address
414 SE HARDING ST, MADISON, FL 32340-4832
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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