Provider Demographics
NPI:1255563581
Name:CARBUNARU, ANDRES (DDS)
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:
Last Name:CARBUNARU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 N COMMERCE PKWY
Mailing Address - Street 2:STE 1
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3251
Mailing Address - Country:US
Mailing Address - Phone:954-389-1212
Mailing Address - Fax:954-389-6886
Practice Address - Street 1:2235 N COMMERCE PKWY
Practice Address - Street 2:SUITE 1
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3251
Practice Address - Country:US
Practice Address - Phone:954-389-1212
Practice Address - Fax:954-389-6886
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN183731223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No1223G0001XDental ProvidersDentistGeneral Practice