Individual
LUISA FERNANDA BETANCUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 SE 17TH ST, 500, OCALA, FL 34471-4191
(352) 368-9099
Mailing address
6365 SW 134TH LOOP, OCALA, FL 34473-8195
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20664
FL
Other
Enumeration date
04/14/2014
Last updated
07/10/2016
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