Individual
DANIEL IZAGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
106 HANCOCK BRIDGE PKWY W STE A01, CAPE CORAL, FL 33991-2091
(239) 573-1273
Mailing address
955 NE 13TH AVE, HOMESTEAD, FL 33033-4519
(786) 348-3119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22670
FL
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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