LOURDES BASULTO

HIALEAH, FL
NPI1942835574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
(Licence: FL  dr134398)
Enumeration Date2020-03-04
Last Update Date2020-03-04
Business Address
LOURDES BASULTO D.A
4410 W 16TH AVE STE 52
HIALEAH, FL 33012-7193
Phone number: 305-825-9899
Mailing Address
LOURDES BASULTO D.A
4410 W 16TH AVE STE 52
HIALEAH, FL 33012-7193
Phone number: 305-825-9899
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