Individual
TERESA E LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD DDS
Contact information
Practice address
1155 BRICKELL BAY DR APT 1103, MIAMI, FL 33131-2998
(305) 804-9074
Mailing address
1155 BRICKELL BAY DR APT 1103, MIAMI, FL 33131-2998
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN17503
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ME88197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760494678
GROUP NPI
FL
Enumeration date
07/09/2008
Last updated
04/06/2016
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