Individual
MARILIAN LAUZAN GUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
2914 CENTRAL AVE APT 5, UNION CITY, NJ 07087-3823
(352) 304-0916
Mailing address
2914 CENTRAL AVE APT 5, UNION CITY, NJ 07087-3823
(352) 304-0916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 19449
FL
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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