Individual
DR. ISARELYS LAZO QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4789 SW 148TH AVE STE 205, DAVIE, FL 33330-2121
(954) 252-5911
Mailing address
4705 NW 7TH ST APT 208, MIAMI, FL 33126-2225
(786) 897-4878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22653
FL
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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