NPI | 1245429604 |
---|---|
Doing Business As | LAZZARA ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JOHN LAZZARA President 904-806-2238 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 18064) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2007-10-22 |