Individual
DR. JUAN M TEODORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9510 BONITA BEACH RD SE, SUITE 102, BONITA SPRINGS, FL 34135-4699
(239) 333-4343
(239) 333-4344
Mailing address
9510 BONITA BEACH RD SE, SUITE 102, BONITA SPRINGS, FL 34135-4699
(239) 333-4343
(239) 333-4344
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN17032
FL
Other
Enumeration date
11/20/2006
Last updated
08/20/2010
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