| Maritza Lazcano D.d.s | |
|
10051 Pines Blvd Ste C Pembroke Pines FL 33024-6172 | |
| (954) 317-0236 | |
| (954) 543-1600 |
| Full Name | Maritza Lazcano D.d.s |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10051 Pines Blvd Ste C, Pembroke Pines, Florida |
| Authorized Official Name and Position | Maritza T Lazcano (DENTIST) |
| Authorized Official Contact | 9543170236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maritza Lazcano D.d.s 10051 Pines Blvd Ste C Pembroke Pines FL 33024-6172 Ph: (954) 317-0236 | Maritza Lazcano D.d.s 10051 Pines Blvd Ste C Pembroke Pines FL 33024-6172 Ph: (954) 317-0236 |
| NPI Number | 1447694799 |
|---|---|
| Provider Enumeration Date | 04/17/2013 |
| Last Update Date | 04/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447694799 | NPI | - | NPPES |
| 076955001 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN182052 (Florida) | Primary |
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