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Organization

LUCKY SEVEN FAMILY DENTISTRY CORP

Active
Other names
Lucky Seven Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIO CARBOT DMD (GENERAL DENTIST)
(786) 507-1551
Entity
Organization

Contact information

Practice address
10511 SW 88TH ST STE C101, MIAMI, FL 33176-1537
(786) 507-1551
Mailing address
10511 SW 88TH ST STE C101, MIAMI, FL 33176-1537
(786) 507-1551

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17467
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN17467
DENTAL LIC
FL
Enumeration date
06/01/2018
Last updated
06/01/2018
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