Individual
GRACE MARIA GUZMAN LAVANDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
645 NE 127TH ST, NORTH MIAMI, FL 33161-4824
(786) 542-0421
Mailing address
3430 NW 19TH ST, MIAMI, FL 33125-1020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27343
FL
Other
Enumeration date
03/31/2020
Last updated
12/08/2025
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