Carolina Dentures & Dentistry

Organization Active NPI Dental Clinic/Center · Dunnellon, FL

NPI 1992806335 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992806335
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
DN0011269 (FL)
Legal business name
CAROLINA DENTURES & DENTISTRY
Practice address
10701 US Hwy 41 North Dunnellon
Dunnellon, FL 34432
Phone
(352) 489-0707
Fax
(352) 489-1525
NPI assigned
Sep 26, 2006
Organization subpart
No

Authorized official

Name
Mr. Reynaldo Favala Gonzalez, DMD
Title
Owner Operator
Phone
(352) 489-0707

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN0011269 FL Yes

Addresses

Primary practice location

10701 US Hwy 41 North Dunnellon
Dunnellon, FL 34432

Mailing address

PO Box 538
10701 US Hwy 41 North Dunnellon
Dunnellon, FL 34432
Phone (352) 489-0707

Other providers in Dunnellon, FL

All providers in Dunnellon, FL · Dental Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.