Organization
OAK DENTAL CARE PA
Active
Other names
Oak Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA-MARCIA CARVALHO DDS (PRESIDENT)
(312) 608-8088
Entity
Organization
Contact information
Practice address
6844 INTERNATIONAL CENTER BLVD STE A, FORT MYERS, FL 33912-7154
(239) 595-9300
Mailing address
479 N HARLEM AVE APT 1324, OAK PARK, IL 60301-6419
(312) 608-8088
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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