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Individual

IVAN ENRIQUE ZAMORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4987 RINGWOOD MDW, SARASOTA, FL 34235-2033
(941) 377-3659
(941) 378-0893
Mailing address
6080 SW 40TH ST, SUITE 7, MIAMI, FL 33155-5233
(305) 665-6564
(305) 665-9370

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15258
FL

Other

Enumeration date
03/16/2009
Last updated
11/16/2021
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