Individual
DR. IDELBIS LAGO-SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3729 LAKE WORTH RD, PALM SPRINGS, FL 33461-4033
(561) 201-8078
(561) 584-7726
Mailing address
7437 PINE TREE LN, LAKE CLARKE SHORES, WEST PALM BEACH, FL 33406-6820
(561) 201-1713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 20246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009877200
—
FL
Enumeration date
08/02/2013
Last updated
07/21/2022
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