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Organization

WAUHCULA DENTAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA M MATHEWS (OFFICE MANAGER)
(863) 773-9344
Entity
Organization

Contact information

Practice address
322 S 6TH AVE, WAUCHULA, FL 33873-3207
(863) 773-9344
(863) 773-9350
Mailing address
322 S 6TH AVE, WAUCHULA, FL 33873-3207
(863) 773-9344
(863) 773-9350

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
FL

Other

Enumeration date
09/14/2015
Last updated
09/14/2015
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