Individual
DR. DAVID LENNARD PACLIBARE VIZCONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
508 N GREEN RIVER RD, EVANSVILLE, IN 47715-2412
(812) 618-9357
Mailing address
2305 BABCOCK DR, LAS VEGAS, NV 89134-0167
(562) 242-9091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013239A
IN
Other
Enumeration date
05/30/2019
Last updated
08/05/2019
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