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Organization

FAMILIAR DENTISTRY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAFAEL MARTINEZ DMD (DENTIST)
(786) 296-5235
Entity
Organization

Contact information

Practice address
7740 PRESERVE LN STE 11, NAPLES, FL 34119-9710
(239) 359-6136
Mailing address
14040 DANPARK LOOP, FORT MYERS, FL 33912-6864
(786) 296-5235

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/08/2023
Last updated
02/08/2023
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