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Individual

KARINA LEIVA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 NW 84 AVENUE, STE 203, PLANTATION, FL 33324
(954) 947-1470
Mailing address
14444 BEACH BLVD STE 2, JACKSONVILLE, FL 32250-2010

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN22809
FL
1223G0001X
General Practice Dentistry
DN22809
FL

Other

Enumeration date
08/11/2017
Last updated
03/21/2023
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