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Organization
LAZCANO FAMILY DENTAL P.A
Active
Organization
LAZCANO FAMILY DENTAL P.A
Active
Other names
Maritza Lazcano D.D.S
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA T LAZCANO D.D.S (DENTIST)
(954) 317-0236
Entity
Organization
Contact information
Practice address
10051 PINES BLVD STE C, PEMBROKE PINES, FL 33024-6172
(954) 317-0236
(954) 543-1600
Mailing address
10051 PINES BLVD STE C, PEMBROKE PINES, FL 33024-6172
(954) 317-0236
(954) 543-1600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN182052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076955001
—
FL
Enumeration date
04/17/2013
Last updated
04/17/2013
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