Individual
DR. CARLOS ANDRES NIEVES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4126 INDEPENDENT DR, MARIANNA, FL 32448-4023
(850) 394-4907
Mailing address
403 E 11TH ST, PANAMA CITY, FL 32401-3409
(850) 747-5599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1689
PR
1223G0001X
General Practice Dentistry
Primary
DN22532
FL
Other
Enumeration date
07/25/2006
Last updated
04/25/2020
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