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Organization

PREVENTIVE DENTISTRY FOR CHILDREN PA

Active
Other names
Preventive Dentistry for Children
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENISE MARIE-JEANNE VEDRENNE-RANGEL DDS (OWNER)
(305) 743-4670
Entity
Organization

Contact information

Practice address
9713 OVERSEAS HWY, MARATHON, FL 33050-3342
(305) 743-4670
(305) 743-4899
Mailing address
9713 OVERSEAS HWY, MARATHON, FL 33050-3342
(305) 743-4670
(305) 743-4899

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN 17035
FL

Other

Enumeration date
05/16/2007
Last updated
05/30/2009
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