Individual
ELISA CARBONELL CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
395 W 49TH ST STE B, HIALEAH, FL 33012-3715
(305) 351-3318
Mailing address
2101 SW 83RD AVE, MIAMI, FL 33155-1139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN27596
FL
Other
Enumeration date
04/11/2022
Last updated
07/27/2023
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