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Organization
PINES FAMILY DENTAL
Active
Organization
PINES FAMILY DENTAL
Active
Other names
Dr. Raul Lizaso
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL LIZASO DMD (OWNER)
(954) 430-1717
Entity
Organization
Contact information
Practice address
20170 PINES BLVD STE 108, PEMBROKE PINES, FL 33029-1202
(954) 430-1717
(954) 430-3049
Mailing address
20170 PINES BLVD STE 108, PEMBROKE PINES, FL 33029-1202
(954) 430-1717
(954) 430-3049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN001496
FL
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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