Individual
IVAN CEDENO MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4047 OKEECHOBEE BLVD STE 219, WEST PALM BEACH, FL 33409-3237
(561) 640-7600
Mailing address
1019 LARCH WAY, WELLINGTON, FL 33414-5101
(512) 903-8767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28329
FL
Other
Enumeration date
07/06/2023
Last updated
08/17/2023
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