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1275062358
JEAN PAUL TAVERAS
LAKELAND, FL
NPI
1275062358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN22694)
Enumeration Date
2017-06-12
Last Update Date
2017-06-12
Business Address
JEAN PAUL TAVERAS DMD
1251 ARIANA ST
LAKELAND, FL 33803-1814
Phone number: 813-420-1950
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Mailing Address
JEAN PAUL TAVERAS DMD
2211 MOUNTAIN MEADOW WAY
VALRICO, FL 33594-5136
Phone number:
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