Individual
DIANA PARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
319 LYNNWAY, LYNN, MA 01901-1811
(781) 599-5437
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20804
MA
Other
Enumeration date
03/16/2008
Last updated
12/29/2010
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