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Individual

CARLOS HUMBERTO SIERRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2689 E GULF TO LAKE HWY, INVERNESS, FL 34453-3216
(352) 637-1114
(352) 637-1146
Mailing address
310 W DAMPIER ST, INVERNESS, FL 34450-4150
(786) 525-7713

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH27627
FL

Other

Enumeration date
12/07/2020
Last updated
12/07/2020
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