Individual
MRS. ISABEL CRISTINA SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4162 SW 158TH AVE, MIRAMAR, FL 33027-4835
(917) 519-9585
Mailing address
4162 SW 158TH AVE, MIRAMAR, FL 33027-4835
(917) 519-9585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20070
FL
Other
Enumeration date
09/22/2013
Last updated
09/22/2013
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