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Organization
LUCKY SEVEN FAMILY DENTISTRY CORP
Active
Organization
LUCKY SEVEN FAMILY DENTISTRY CORP
Active
Other names
Lucky Seven Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO CARBOT DMD (GENERAL DENTIST)
(786) 507-1551
Entity
Organization
Contact information
Practice address
10511 SW 88TH ST STE C101, MIAMI, FL 33176-1537
(786) 507-1551
Mailing address
10511 SW 88TH ST STE C101, MIAMI, FL 33176-1537
(786) 507-1551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN17467
DENTAL LIC
FL
Enumeration date
06/01/2018
Last updated
06/01/2018
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