Individual
HENRY GUILARTE-FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 6TH ST NW, WINTER HAVEN, FL 33881-2365
(863) 280-7101
Mailing address
112 AZALEA DR, DAVENPORT, FL 33837-5795
(505) 480-3628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN28440
FL
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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