| NPI | 1962556514 |
|---|---|
| Other Name | DR. RAUL LIZASO |
| Entity Type | Organization |
| Authorized Contact | RAUL LIZASO Owner 954-430-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN001496) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |