Organization
BERRY DENTAL
Active
Other names
Viva Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIANA CORREAL DMD (GENERAL DENTIST)
(305) 910-6975
Entity
Organization
Contact information
Practice address
2522 JACKS ROAD, UNIT #2A, DAVENPORT, FL 33897
(305) 910-6975
Mailing address
9544 ROYAL ESTATES BLVD, ORLANDO, FL 32836-8896
(305) 910-6975
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
04/01/2024
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