Organization
LYDIA MARIN CALIMAREA DMD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA MARIN CALIMAREA DMD (DENTIST)
(386) 756-9298
Entity
Organization
Contact information
Practice address
1525 HERBERT STREET,SUIT 101, PORET ORANGE, FL 32129
(386) 322-7786
(386) 761-3920
Mailing address
1047 POCATELLO COURT, PORT ORANGE, FL 32129
(386) 756-9298
(386) 322-7421
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 11781
FL
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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