Organization
CALA HILLS ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRICK LECORN D.M.D., M.S. (ENDODONTIST)
(352) 291-9360
Entity
Organization
Contact information
Practice address
2130 SW 22ND PL STE 101, OCALA, FL 34471-7754
(352) 291-9360
(352) 291-9363
Mailing address
2130 SW 22ND PL STE 101, OCALA, FL 34471-7754
(352) 291-9360
(352) 291-9363
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN16008
FL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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