Individual
SIXTO RAFAEL CORNEJO ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4732 S KIRKMAN RD, ORLANDO, FL 32811-3643
(407) 292-7373
(407) 992-8858
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN27236
FL
Other
Enumeration date
07/14/2022
Last updated
08/31/2023
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