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