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Organization
FIRST CHOICE DENTAL IMPLANT CENTERS LLC
Active
Organization
FIRST CHOICE DENTAL IMPLANT CENTERS LLC
Active
Other names
MEDSQUARE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ANDRES CASTELLANOS DDS (PRESIDENT)
(305) 586-5852
Entity
Organization
Contact information
Practice address
9101 SW 24TH ST STE 102, MIAMI, FL 33165-2083
(305) 850-6687
(786) 677-8963
Mailing address
9101 SW 24TH ST STE 102, MIAMI, FL 33165-2083
(305) 850-6687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN23886
MEDICAL LICENSE
FL
Enumeration date
07/24/2023
Last updated
07/24/2023
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