Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DN17727 | FL |
NPI | 1013034214 |
---|---|
Provider Name | Arelis Martone |
First Address | Royal Palm Beach, FL 33411-3510 |
Second Address | Royal Palm Beach, FL 33411-3510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 24/10/2011 |