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Individual

ADELA CASAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1100 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1780
(772) 807-1451
Mailing address
1100 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1780
(772) 807-1451

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18382
FL
124Q00000X
Dental Hygienist
18382

Other

Enumeration date
12/01/2018
Last updated
12/01/2018
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