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Individual
FELIX C. MADRID
Active
Individual
FELIX C. MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1864
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3272
—
NM
01
—
596127
UNITED CONCORDIA
NM
01
—
810M
BLUE CROSS BLUE SHIELD
NM
Enumeration date
07/20/2006
Last updated
07/08/2007
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