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1508926619
ELAINE DELVALLE LARA
DAVIE, FL
NPI
1508926619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: FL DTP414)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Dr. ELAINE DELVALLE LARA
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number: 954-262-7341
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Mailing Address
Dr. ELAINE DELVALLE LARA
3530 MYSTIC POINTE DR APT 1003
AVENTURA, FL 33180-4527
Phone number: 305-466-2476
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