Individual
DR. ELSA GRULLON CORTORREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2501 SW 101ST AVE STE 107, MIRAMAR, FL 33025-5092
(354) 399-8025
(954) 399-8397
Mailing address
2501 SW 101ST AVE STE 107, MIRAMAR, FL 33025-5092
(954) 399-8025
(954) 399-8397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11432
FL
Other
Enumeration date
09/20/2006
Last updated
07/22/2025
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