Individual
DR. LUIS ENRIQUE DENIZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13000 BRUCE B. DOWNS BLVD., DENTAL SERVICE (160), TAMPA, FL 33612-0000
(813) 972-2000
(813) 910-4038
Mailing address
6108 COGNAC CIR, LUTZ, FL 33558-2854
(813) 416-3668
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15643
FL
Other
Enumeration date
07/17/2006
Last updated
03/04/2013
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