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Individual

DR. MARCELA MATAMOROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
19084 NE 29TH AVE, AVENTURA, FL 33180-2805
(786) 623-5898
Mailing address
1414 SW BLUEBIRD CV, PORT ST LUCIE, FL 34986-2020

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN20300
FL

Other

Enumeration date
04/12/2016
Last updated
04/12/2016
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