Individual
CARLY SIGNORELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
37944 CHURCH AVE, DADE CITY, FL 33525-4207
(352) 518-2000
Mailing address
400 ANZA ST APT 403, SAN FRANCISCO, CA 94118-4389
(954) 461-7899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64842
CA
Other
Enumeration date
03/24/2014
Last updated
05/06/2022
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