Provider Demographics
NPI:1003195694
Name:DULCEY, MONICA ADRIANA (DMD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ADRIANA
Last Name:DULCEY
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 1:9920NW 68TH PLACE
Mailing Address - Street 2:#205
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321
Mailing Address - Country:US
Mailing Address - Phone:954-461-5864
Mailing Address - Fax:
Practice Address - Street 1:9920 NW 68TH PL
Practice Address - Street 2:205
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3321
Practice Address - Country:US
Practice Address - Phone:954-461-5864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN194801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice