Individual
LAZARO ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15215 COLLIER BLVD, SUITE 314, NAPLES, FL 34119-6834
(239) 793-5599
Mailing address
7032 AMBROSIA LN APT 707, NAPLES, FL 34119-9652
(813) 598-4301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN 19886
FL
122300000X
Dentist
Primary
DN19886
FL
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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