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Organization
CORDICA DENTAL DESIGNS
Active
Organization
CORDICA DENTAL DESIGNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH PEREZ DMD (DOCTOR, DMD/PRESIDENT)
(813) 422-2599
Entity
Organization
Contact information
Practice address
220 W BRANDON BLVD, STE 106, BRANDON, FL 33511-5104
(813) 661-1800
(813) 661-1300
Mailing address
220 W BRANDON BLVD, STE 106, BRANDON, FL 33511-5104
(813) 661-1800
(813) 661-1300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014265500
—
FL
Enumeration date
02/09/2015
Last updated
09/28/2015
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