Individual
RAFAEL DE OLIVEIRA LAZARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS, PHD
Contact information
Practice address
1395 CENTER DRIVE, DEPARTMENT OF PERIODONTOLOGY, GAINESVILLE, FL 32611
(352) 273-8360
Mailing address
714, SW 16TH AVE APT 306, GAINESVILLE, FL 32601
(352) 219-5334
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DTP874
FL
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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