Individual
DR. JOSE LUIS PENALOZA GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1645 E HWY 50 STE 100, CLERMONT, FL 34711-5199
(352) 327-8957
Mailing address
3755 COLLINGWOOD LN, OVIEDO, FL 32765-9340
(864) 376-8428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN28900
FL
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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