Individual
DR. JOSE F. LAZARO-SAN MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8675 MAIDSTONE CT, LARGO, FL 33777-1314
(727) 374-4411
Mailing address
8675 MAIDSTONE CT, LARGO, FL 33777-1314
(727) 374-4411
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
01636
PR
Other
Enumeration date
01/26/2006
Last updated
11/16/2007
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