Individual
RICHARD MONDESTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14941 BEL AIRE DR S, PEMBROKE PINES, FL 33027-2229
(786) 656-1703
Mailing address
14941 BEL AIRE DR S, PEMBROKE PINES, FL 33027-2229
(786) 656-1703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN10581
FL
1223P0221X
Pediatric Dentistry
Primary
DN10581
FL
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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