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1912434143
LUIS MANUEL DE LA PUENTE
PORT CHARLOTTE, FL
NPI
1912434143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN22534)
Enumeration Date
2017-05-18
Last Update Date
2017-05-18
Business Address
LUIS MANUEL DE LA PUENTE DDS
1940 TAMIAMI TRL STE 102
PORT CHARLOTTE, FL 33948-2105
Phone number: 941-625-7413
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Mailing Address
LUIS MANUEL DE LA PUENTE DDS
5333 MIKADO CT
CAPE CORAL, FL 33904-5972
Phone number:
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