Individual
DR. IVAN IZQUIERDO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7175 SW 8TH ST, SUITE 205, MIAMI, FL 33144-4676
(305) 261-8080
(305) 261-8086
Mailing address
7175 SW 8TH ST, SUITE 205, MIAMI, FL 33144-4676
(305) 261-8080
(305) 261-8086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18523
FL
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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