Individual
LUCIEL FONTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6350 SUNSET DR, SOUTH MIAMI, FL 33143-4836
(786) 293-5500
(786) 293-5508
Mailing address
10300 SW 216TH ST, MIAMI, FL 33190
(305) 253-5100
(305) 254-4901
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH27278
FL
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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