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Organization
MULBERRY DENTAL CARE INC.
Active
Organization
MULBERRY DENTAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBA SHAFII DDS (OWNER)
(863) 869-8888
Entity
Organization
Contact information
Practice address
105 N CHURCH AVE, MULBERRY, FL 33860-2413
(863) 869-8888
(863) 869-8880
Mailing address
105 N CHURCH AVE, MULBERRY, FL 33860-2413
(863) 869-8888
(863) 869-8880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN 13817
DR. FARZANEH'S LICENSE #
FL
01
—
DN13663
DR. SHAFII'S LICENSE #
FL
Enumeration date
11/15/2006
Last updated
08/22/2020
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