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Individual

DR. LORENA DENISE PUPO BARROSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3448 CLEVELAND AVE, FORT MYERS, FL 33901-7108
(239) 201-2571
Mailing address
4739 MIRAGE BAY CIR UNIT 303, FORT MYERS, FL 33966-6630
(315) 807-2767

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27071
FL

Other

Enumeration date
06/20/2022
Last updated
06/20/2022
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