Organization
CERAVOLO & CORDERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JAMES CERAVOLO D.D.S. (PERIODONTIST)
(561) 790-5700
Entity
Organization
Contact information
Practice address
1037 S STATE ROAD 7, SUITE 217, WELLINGTON, FL 33414-6138
(561) 790-5700
(561) 790-5701
Mailing address
1037 S STATE ROAD 7, SUITE 217, WELLINGTON, FL 33414-6138
(561) 790-5700
(561) 790-5701
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10720
FL
1223P0300X
Periodontics
12671
FL
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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