Individual
DR. JUAN CARLOS MENDOZA IGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3801 HOLLYWOOD BLVD STE 225, HOLLYWOOD, FL 33021-6849
(954) 246-4851
Mailing address
3970 GROVE PARK DR, TALLAHASSEE, FL 32311-3616
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2848
PR
1223P0300X
Periodontics
Primary
DN23115
FL
Other
Enumeration date
11/20/2009
Last updated
03/17/2018
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