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1497493084
ROBERTO LARA
BRUNSWICK, GA
NPI
1497493084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: GA DN122646)
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
Dr. ROBERTO LARA DMD
106 SHOPPERS WAY STE 108
BRUNSWICK, GA 31525-0522
Phone number: 912-342-7622
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Mailing Address
Dr. ROBERTO LARA DMD
106 SHOPPERS WAY STE 108
BRUNSWICK, GA 31525-0522
Phone number: 912-342-7622
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