Individual
JORGE DONOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8880 ROYAL PALM BLVD STE 106, CORAL SPRINGS, FL 33065-5727
(954) 341-1040
Mailing address
8880 ROYAL PALM BLVD STE 106, CORAL SPRINGS, FL 33065-5727
(954) 341-1040
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11580
FL
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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