Provider Demographics
NPI:1790293595
Name:RINCON, KAROLINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAROLINA
Middle Name:
Last Name:RINCON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3355 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1981
Mailing Address - Country:US
Mailing Address - Phone:305-781-8353
Mailing Address - Fax:
Practice Address - Street 1:1196 E STATE ROAD 434
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2715
Practice Address - Country:US
Practice Address - Phone:305-781-8353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-15
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN229321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice