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Individual

DR. LIRIS ESTEVEZ PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
21202 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6751
(941) 269-1332
Mailing address
1155 NW 123RD PL APT 303, MIAMI, FL 33182-2402
(786) 768-1557

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30299
FL

Other

Enumeration date
05/30/2025
Last updated
05/30/2025
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