Individual
DR. AICEL CARBONERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
293 NE 61ST STREET, MIAMI, FL 33137
(305) 725-3145
Mailing address
293 NE 61ST ST, MIAMI, FL 33137-2126
(305) 725-3145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN19554
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN19554
FL
Other
Enumeration date
10/11/2011
Last updated
08/25/2021
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