Individual
DR. CARLOS E CARDENAS PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9200 113TH ST, SEMINOLE, FL 33772-2800
(727) 893-5050
Mailing address
11123 60TH AVENUE N, SEMINOLE, FL 33772
(203) 300-1564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DRPM2640
FL
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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