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Individual

LISSET VALDES CASTELLANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
49 NW 47TH CT, MIAMI, FL 33126-5229
(786) 709-3372
Mailing address
49 NW 47TH CT, MIAMI, FL 33126-5229
(786) 709-3372

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22898
FL

Other

Enumeration date
03/20/2015
Last updated
07/21/2022
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