Individual
DR. LOURDES MILAGROS CORTES-SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4212 S MANHATTAN AVE, TAMPA, FL 33611-1302
(813) 253-3679
Mailing address
4212 S MANHATTAN AVE, TAMPA, FL 33611-1302
(813) 253-3679
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
002632
PR
1223P0221X
Pediatric Dentistry
Primary
DN 17501
FL
Other
Enumeration date
12/09/2005
Last updated
07/13/2020
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