Archetype Dental, LLC
NPI #1205668605 in Coral Springs, Florida
Provider Information
- NPI Number
- 1205668605
- Entity Type
- Organization
- Organization Name
- Archetype Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 15, 2024
- Last Updated
- Aug 15, 2024
Practice Location
- Address
- 7663 W SAMPLE RD
- City
- Coral Springs
- State
- Florida
- ZIP Code
- 33065-4718
- Phone
- (954) 906-3095
Authorized Official
- Name
- DR. MARICEL PEREZ, DMD
- Title
- PRESIDENT
- Phone
- (954) 906-3095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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