Individual
DR. LUIS CARLOS MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 MALABAR RD SE STE 3, PALM BAY, FL 32907-3109
(786) 622-3950
Mailing address
620 MALABAR RD SE STE 3, PALM BAY, FL 32907-3109
(786) 622-3950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23915
FL
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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