Organization
CHILDRENS DENTISTRY OF AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GISLEDA ANNETTE RAMOS DDS,MS (OWNER)
(954) 775-0723
Entity
Organization
Contact information
Practice address
7663 W SAMPLE RD, CORAL SPRINGS, FL 33065-4718
(954) 755-0723
(754) 241-0242
Mailing address
7663 W SAMPLE RD, CORAL SPRINGS, FL 33065-4718
(754) 241-0242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101344800
—
FL
Enumeration date
10/05/2021
Last updated
12/21/2022
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