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Individual

LYDIA MARIN CALIMAREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1525 HERBERT ST, SUITE 101, PROT ORANGE, FL 32129
(386) 322-7786
(386) 761-3920
Mailing address
1525 HERBERT ST, SUITE 101, PROT ORANGE, FL 32129
(386) 322-7786
(386) 761-3920

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11781
FL

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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