Provider Demographics
NPI:1700278637
Name:MARCELA D MURCIA DMD PA
Entity type:Organization
Organization Name:MARCELA D MURCIA DMD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MARCELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MURCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-675-2644
Mailing Address - Street 1:2633 E COMMERCIAL BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4135
Mailing Address - Country:US
Mailing Address - Phone:954-530-5352
Mailing Address - Fax:
Practice Address - Street 1:2633 E COMMERCIAL BLVD STE B
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4135
Practice Address - Country:US
Practice Address - Phone:954-530-5352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty