Individual
CARLOS MENDIGUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6602 MAIN ST, MIAMI LAKES, FL 33014-2241
(786) 786-4888
(786) 677-8888
Mailing address
6602 MAIN ST, MIAMI LAKES, FL 33014-2241
(786) 786-4888
(786) 677-8888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17399
FL
Other
Enumeration date
03/21/2007
Last updated
09/15/2020
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