Organization
FLORIDA DENTAL STUDIO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAZARO GAVILLA DDS (PRESIDENT)
(305) 586-3767
Entity
Organization
Contact information
Practice address
2701 NE 14TH STREET CSWY STE 4, POMPANO BEACH, FL 33062-3535
(754) 205-4900
(754) 205-4799
Mailing address
2701 NE 14TH STREET CSWY STE 4, POMPANO BEACH, FL 33062-3535
(754) 205-4900
(754) 205-4799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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