Provider Demographics
NPI:1588952261
Name:MURCIA, MARCELA DEL PILAR (DMD)
Entity type:Individual
Prefix:DR
First Name:MARCELA
Middle Name:DEL PILAR
Last Name:MURCIA
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 1:851 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-4544
Mailing Address - Country:US
Mailing Address - Phone:954-675-2644
Mailing Address - Fax:754-216-2973
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:754-216-2973
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-15
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 194821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice