Provider Demographics
NPI:1548945744
Name:HECK, CAROLINA LAHOZ (DMD)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:LAHOZ
Last Name:HECK
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 1:3939 NW 1ST PL
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-8007
Mailing Address - Country:US
Mailing Address - Phone:754-235-9425
Mailing Address - Fax:
Practice Address - Street 1:5810 WILES RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2158
Practice Address - Country:US
Practice Address - Phone:954-314-8343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN28067122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist