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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) 434-1702
Entity
Organization
Contact information
Practice address
4849 SW 148TH AVE, SOUTHWEST RANCHES, FL 33330-2129
(954) 434-1702
(954) 689-4828
Mailing address
4849 SW 148TH AVE, SOUTHWEST RANCHES, FL 33330-2129
(954) 434-1702
(954) 689-4828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0012206
FL
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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