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Individual

DR. ANA DECASTRO BENEDETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD, MSD

Contact information

Practice address
2626 E COMMERCIAL BLVD STE 1, FORT LAUDERDALE, FL 33308-4132
(954) 771-0922
Mailing address
5314 TERRACE ARBOR CIRCLE, MIDLOTHIAN, VA 23112
(305) 345-1425

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411563
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401411563
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17538
FL

Other

Enumeration date
08/09/2007
Last updated
06/15/2011
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