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Individual

BEATRIZ LARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 JOHN F KENNEDY BLVD STE 1906, PHILADELPHIA, PA 19102-1714
(267) 322-2792
Mailing address
1200 OLD YORK RD, ABINGTON, PA 19001-3788
(215) 481-2000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044801
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2024
Last updated
05/14/2025
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