Individual
KYLE DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7800 W OAKLAND PARK BLVD STE 106C, SUNRISE, FL 33351-1121
(954) 742-7777
(954) 742-5030
Mailing address
7800 W OAKLAND PARK BLVD STE 106C, SUNRISE, FL 33351-1121
(954) 742-7777
(954) 742-5030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20662
FL
Other
Enumeration date
12/15/2014
Last updated
01/07/2015
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