Individual
DR. ANDRES MANUEL LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1810 59TH ST W UNIT A, BRADENTON, FL 34209-4630
(941) 792-8288
Mailing address
1200 GULF BLVD APT 701, CLEARWATER, FL 33767-2797
(727) 424-1940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25796
FL
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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