Organization
ARCHETYPE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARICEL PEREZ DMD (PRESIDENT)
(954) 906-3095
Entity
Organization
Contact information
Practice address
7663 W SAMPLE RD, CORAL SPRINGS, FL 33065-4718
(954) 906-3095
Mailing address
PO BOX 266756, WESTON, FL 33326-6756
(954) 906-3095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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