Country Icles Dental | |
1130 Weston Rd Weston FL 33326 | |
(954) 384-8222 | |
(954) 384-9088 |
Full Name | Country Icles Dental |
---|---|
Speciality | Dentist |
Location | 1130 Weston Rd, Weston, Florida |
Authorized Official Name and Position | Erika A Martinez (PRESIDENT OWNER) |
Authorized Official Contact | 9543848222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Country Icles Dental 1130 Weston Rd Weston FL 33326 Ph: (954) 384-8222 | Country Icles Dental 1130 Weston Rd Weston FL 33326 Ph: (954) 384-8222 |
NPI Number | 1659444339 |
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Provider Enumeration Date | 11/17/2006 |
Last Update Date | 07/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659444339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN14334 (Florida) | Primary |
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