Individual
DR. GASPER LAZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5000 SAWGRASS VILLAGE CIR, SUITE 3, PONTE VEDRA BEACH, FL 32082-5045
(904) 567-1400
(904) 273-6068
Mailing address
5000 SAWGRASS VILLAGE CIR, SUITE 3, PONTE VEDRA BEACH, FL 32082-5045
(904) 567-1400
(904) 273-6068
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN4353
FL
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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