Individual
ALFREDO DENIS LOPEZ MACEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 BARTOW RD, LAKELAND, FL 33801-6574
(813) 499-0197
Mailing address
1775 FOREMAN RD, EAGLE LAKE, FL 33839-5128
(305) 549-0153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN31028
FL
Other
Enumeration date
02/26/2025
Last updated
12/11/2025
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