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Individual

JESUS YONMAY LAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1 ALHAMBRA PLZ STE 25, CORAL GABLES, FL 33134-5216
(786) 507-4440
Mailing address
22 SALAMANCA AVE APT 804, CORAL GABLES, FL 33134-4166
(305) 767-5843

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30441
FL
1223G0001X
General Practice Dentistry
DN30441
FL

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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