LUIS FONSECA

BONITA SPRINGS, FL
NPI1114330586
Professional NameLUIS M FONSECA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN22273)
Enumeration Date2014-06-03
Last Update Date2018-04-24
Business Address
LUIS FONSECA
28441 S TAMIAMI TRL
BONITA SPRINGS, FL 34134-3212
Phone number: 239-316-9044
Mailing Address
LUIS FONSECA
4690 SAINT CROIX LN APT 418
NAPLES, FL 34109-3559
Phone number: 239-316-9044
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