Individual
MRS. KATIUSKA MCINTOSH FALCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10051 PINES BLVD, PEMBROKE PINES, FL 33024-6186
(863) 808-9526
Mailing address
PO BOX 279517, MIRAMAR, FL 33027-9517
(863) 808-9526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 22233
FL
Other
Enumeration date
05/14/2016
Last updated
08/11/2016
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