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1912005778
RAUL LIZASO
PEMBROKE PINES, FL
NPI
1912005778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN0014196)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- RAUL LIZASO DMD
20170 PINES BLVD SUITE 108
PEMBROKE PINES, FL 33029-1202
Phone number: 954-430-1717
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Mailing Address
-- RAUL LIZASO DMD
20170 PINES BLVD SUITE 108
PEMBROKE PINES, FL 33029-1202
Phone number: 954-430-1717
Copy
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