Organization
FLORIDA CITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA MARTINEZ (OFFICER)
(305) 242-5777
Entity
Organization
Contact information
Practice address
103 E LUCY ST # 125, HOMESTEAD, FL 33034-2501
(305) 242-5777
(305) 242-5722
Mailing address
103 E LUCY ST # 125, HOMESTEAD, FL 33034-2501
(305) 242-5777
(305) 242-5722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14911
FL
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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