Individual
CLARA MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6830 DYKES RD, SOUTHWEST RANCHES, FL 33331-4663
(954) 252-0806
Mailing address
6830 DYKES RD, SOUTHWEST RANCHES, FL 33331-4663
(954) 252-0806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FL11268
FL
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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