Individual
LUIS F PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8015 TURKEY LAKE RD STE 300, ORLANDO, FL 32819-7383
(407) 205-0246
Mailing address
382 NE 191 ST, 'PMB 892335', MIAMI, FL 33179-3899
(503) 806-0025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10214
OR
1223P0300X
Periodontics
D10214
OR
1223P0300X
Periodontics
DE60677367
WA
1223P0300X
Periodontics
Primary
DN292525
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/03/2013
Last updated
10/09/2024
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