Organization
FUNDORA MY DENTIST. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCEL FUNDORA DMD (OWNER)
(727) 300-1594
Entity
Organization
Contact information
Practice address
28550 US 19TH HWY N, CLEARWATER, FL 33761
(786) 247-6079
Mailing address
28550 US 19TH HWY N, CLEARWATER, FL 33761
(786) 247-6079
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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