JUAN VELASCO

OAKLAND PARK, FL
NPI1013376144
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: FL  Teaching Permit 611)
Enumeration Date2016-02-17
Last Update Date2016-02-17
Business Address
-- JUAN VELASCO
830 E OAKLAND PARK BLVD
OAKLAND PARK, FL 33334-2761
Phone number: 954-262-7530
Mailing Address
-- JUAN VELASCO
830 E OAKLAND PARK BLVD
OAKLAND PARK, FL 33334-2761
Phone number: 954-262-7530