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Organization
CAROLINA DENTURES OF THE VILLAGES
Active
Organization
CAROLINA DENTURES OF THE VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY ANN MASTAPASCO (OFFICE ADMINISTRATOR)
(352) 674-9077
Entity
Organization
Contact information
Practice address
8640 E COUNTY ROAD 466, SUITE B, THE VILLAGES, FL 32162-5615
(352) 674-9077
(352) 259-8542
Mailing address
8640 E COUNTY ROAD 466, SUITE B, THE VILLAGES, FL 32162-5615
(352) 674-9077
(352) 259-8542
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN0011269
FL
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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