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Individual
DR. GEORGE F ESTRADA
Active
Individual
DR. GEORGE F ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64642
BLUECROSS BLUE SHIELD OF IL
FL
Enumeration date
09/29/2006
Last updated
10/16/2008
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