Individual
DR. JUAN CARLOS LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5326
Mailing address
18111 NW 82ND CT, HIALEAH, FL 33015-2621
(305) 527-3716
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN23704
FL
Other
Enumeration date
03/22/2015
Last updated
01/27/2022
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