Organization
B DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO BARATELLI DMD (PRESIDENT)
(352) 641-0633
Entity
Organization
Contact information
Practice address
1601 NE 14TH ST, OCALA, FL 34470-4635
(352) 641-0633
(352) 877-9656
Mailing address
1601 NE 14TH ST, OCALA, FL 34470-4635
(352) 641-0633
(352) 877-9656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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