Individual
DR. IVAN E TERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
26800 S TAMIAMI TRL, SUITE 350, BONITA SPRINGS, FL 34134-4349
(239) 676-9696
(239) 221-7161
Mailing address
26800 S TAMIAMI TRL, SUITE 350, BONITA SPRINGS, FL 34134-4349
(239) 676-9696
(239) 221-7161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
043274
NY
122300000X
Dentist
Primary
DN17477
FL
Other
Enumeration date
01/01/2006
Last updated
04/27/2009
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