Individual
DR. DAVID RICARDO MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5028 GULFPORT BLVD S, GULFPORT, FL 33707-4942
(727) 321-5346
(727) 327-5466
Mailing address
5028 GULFPORT BLVD S, GULFPORT, FL 33707-4942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 0013127
FL
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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