Individual
DR. STEPHANE DIEUDONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8000 W BROWARD BLVD, SUITE 834, PLANTATION, FL 33388-0024
(954) 476-0802
Mailing address
13765 SW 84TH ST, #E, MIAMI, FL 33183-4021
(305) 388-5783
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN013643
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16155
FL
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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