Individual
HANS ALMANZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
139 SW PORT ST LUCIE BLVD STE A, PORT SAINT LUCIE, FL 34984-5031
(954) 817-3974
Mailing address
139 SW PORT ST LUCIE BLVD STE A, PORT SAINT LUCIE, FL 34984-5031
(954) 817-3974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25523
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
06/09/2018
Last updated
10/04/2021
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