LARISA IGOREVNA MACEDO

BONITA SPRINGS, FL
NPI1922670561
Former NameLARISA IGOREVNA MIRONOVA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  2021022228)
Enumeration Date2021-07-13
Last Update Date2023-07-15
Business Address
Dr. LARISA IGOREVNA MACEDO DMD
26831 S TAMIAMI TRL UNIT 48
BONITA SPRINGS, FL 34134-7828
Phone number: 239-948-3200
Mailing Address
Dr. LARISA IGOREVNA MACEDO DMD
2411 FRYER PT
FORT LAUDERDALE, FL 33305-2722
Phone number: 312-826-9218
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