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Organization

DENTISTART GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LUI HERNANDO OCHOA DDS (PRESIDENT)
(954) 383-4875
Entity
Organization

Contact information

Practice address
9955 NW 31ST ST STE 203, CORAL SPRINGS, FL 33065-3951
(954) 383-4875
Mailing address
9955 NW 31ST ST STE 203, CORAL SPRINGS, FL 33065-3951
(954) 383-4875

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 17926
FL
122300000X
Dentist

Other

Enumeration date
09/09/2014
Last updated
09/09/2014
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