Individual
CARLOS RAFAEL COLON-BENGOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1210 E PLANT ST, #200, WINTER GARDEN, FL 34787-2996
(407) 877-4310
(407) 654-4582
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 654-0481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15278
FL
Other
Enumeration date
07/29/2005
Last updated
07/08/2007
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