Frederick Mendoza

Name

Frederick Mendoza

Year of birth

1965

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Frederick Mendoza

Privacy Request

Additional Information

General: DENTAL PRACTICE

Specialty: DENTIST

Address: 500 IKE STREELE RD

City: WEWAHITCHKA

State: FL

Zip code: 32465

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 2002-09-19


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