Provider Demographics
NPI:1205468071
Name:SUZET MONTES DE OCA, DMD, PLLC
Entity type:Organization
Organization Name:SUZET MONTES DE OCA, DMD, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZET
Authorized Official - Middle Name:DEL CARMEN
Authorized Official - Last Name:MONTES DE OCA CALAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:786-624-7095
Mailing Address - Street 1:1738 SWEETWATER WEST CIR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2485
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1738 SWEETWATER WEST CIR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-2485
Practice Address - Country:US
Practice Address - Phone:786-624-7095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental