Organization
FLORIDA MOBILE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESMERALDA CHIANG (OWNER DENTIST)
(954) 558-7821
Entity
Organization
Contact information
Practice address
13650 FIDDLESTICKS BLVD, SUITE 202-278, FT MYERS, FL 33912
(954) 558-7821
Mailing address
4724 OAKSHIRE DRIVE, HOUSTON, TX 77027
(954) 558-7821
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18023
FL
Other
Enumeration date
05/12/2017
Last updated
11/16/2017
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