Individual
BAYARDO CARLOS CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3469 W BOYNTON BEACH BLVD, STE 20, BOYNTON BEACH, FL 33436-4611
(561) 736-8755
(561) 736-3996
Mailing address
12420 SW 22ND TER, MIAMI, FL 33175-7703
(786) 218-7801
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN15894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013590500
—
FL
Enumeration date
10/18/2006
Last updated
06/09/2015
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