Individual
BARBARO MONTIEL LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 MARY ESTHER CUT OFF NW STE 2, FORT WALTON BEACH, FL 32548-4025
(754) 244-8643
Mailing address
516 MARY ESTHER CUT OFF NW STE 2, FORT WALTON BEACH, FL 32548-4025
(754) 244-8643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30617
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/08/2025
Last updated
06/25/2025
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