| Carolina Dentures & Dentistry | |
|
10701 Us Hwy 41 North Dunnellon Dunnellon FL 34432 | |
| (352) 489-0707 | |
| (352) 489-1525 |
| Full Name | Carolina Dentures & Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10701 Us Hwy 41 North Dunnellon, Dunnellon, Florida |
| Authorized Official Name and Position | Reynaldo Favala Gonzalez (OWNER OPERATOR) |
| Authorized Official Contact | 3524890707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Dentures & Dentistry Po Box 538 10701 Us Hwy 41 North Dunnellon Dunnellon FL 34432 Ph: (352) 489-0707 | Carolina Dentures & Dentistry 10701 Us Hwy 41 North Dunnellon Dunnellon FL 34432 Ph: (352) 489-0707 |
| NPI Number | 1992806335 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992806335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN0011269 (Florida) | Primary |
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