Organization
FIRST CHOICE DENTAL IMPLANT CENTERS LLC
Active
Other names
MEDSQUARE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ANDRES CASTELLANOS DDS (PRESIDENT)
(305) 586-5852
Entity
Organization
Contact information
Practice address
9101 SW 24TH ST STE 102, MIAMI, FL 33165-2083
(305) 850-6687
(786) 677-8963
Mailing address
9101 SW 24TH ST STE 102, MIAMI, FL 33165-2083
(305) 850-6687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN23886
MEDICAL LICENSE
FL
Enumeration date
07/24/2023
Last updated
07/24/2023
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