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Individual

DR. JOANA LASTRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5100 S CLEVELAND AVE # 315316, FORT MYERS, FL 33907-2189
(239) 768-2588
Mailing address
1890 S.W. HEALTH PARKWAY, SUITE 104, NAPLES, FL 34109-2189
(239) 594-1171

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN21762
FL

Other

Enumeration date
07/23/2014
Last updated
07/20/2017
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