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1265000319
LISETT MATA ALVAREZ
FORT MYERS, FL
NPI
1265000319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN28432)
Enumeration Date
2021-06-15
Last Update Date
2023-07-19
Business Address
LISETT MATA ALVAREZ DDS
18070 S TAMIAMI TRL # 101
FORT MYERS, FL 33908-4602
Phone number: 239-236-4884
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Mailing Address
LISETT MATA ALVAREZ DDS
4208 SW SANTA BARBARA PL
CAPE CORAL, FL 33914-8434
Phone number: 786-916-4453
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