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Individual

ED DE LA PAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
9710 N ARMENIA AVE, SUITE D, TAMPA, FL 33612-7507
(813) 930-8300
(813) 915-1501
Mailing address
9710 N ARMENIA AVE, SUITE D, TAMPA, FL 33612-7507
(813) 930-8300
(813) 915-1501

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12677
FL

Other

Enumeration date
01/10/2006
Last updated
11/02/2011
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