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1801174131
DENISSE LASANTA
TAMPA, FL
NPI
1801174131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: FL DN19520)
Enumeration Date
2011-08-03
Last Update Date
2015-12-23
Business Address
-- DENISSE LASANTA DMD
7728 PALM RIVER RD
TAMPA, FL 33619-4215
Phone number: 813-630-3600
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Mailing Address
-- DENISSE LASANTA DMD
13110 ELK MOUNTAIN DR
RIVERVIEW, FL 33579-7182
Phone number: 813-349-7569
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