Individual
DR. LAZARO F GAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2701 NE 14TH STREET CSWY STE 4, POMPANO BEACH, FL 33062-3535
(754) 205-4900
Mailing address
2701 NE 14TH STREET CSWY STE 4, POMPANO BEACH, FL 33062-3535
(305) 586-3767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
057508-1
NY
122300000X
Dentist
Primary
DN20449
FL
Other
Enumeration date
04/01/2013
Last updated
04/25/2023
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