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Individual

DR. ELAINE DELVALLE LARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-7341
(954) 262-1782
Mailing address
3530 MYSTIC POINTE DR APT 1003, AVENTURA, FL 33180-4527
(305) 466-2476
(305) 466-2476

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DTP414
FL

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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