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Ivan Orlando Parra, DDS Valid NPI

Individual provider · Dentist · Plantation, FL

NPI
1174629554
Type
Individual (Type 1)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
DN16116 (FL)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-09-15
Last updated
2007-07-08
Practice location
6991 W Broward Blvd, Ste # 101
Plantation, FL 33317-2907
(954) 316-4444

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