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Dr. Julio Lara, DDS
General Practice Dentistry in Tampa, Florida
NPI 1114454915

Julio Lara is a General Practice Dentistry based in Tampa, FL and is specialized in General Practice. Julio Lara practices in Tampa, FL and has the professional credentials of DDS. The NPI Number for Julio Lara is 1114454915 and holds a License No. (Florida).

The current practice location address for Julio Lara is 302 W Fletcher Ave, Tampa, FL and can be reached out via phone at 813-397-5305.

Location: 302 W Fletcher Ave, Tampa, FL, 33682-2969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114454915
Provider Name
Julio Lara
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
302 W Fletcher Ave, Tampa, FL, 33682-2969
Phone Number
813-397-5305
Fax Number
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103549337-0001 05 PA
institution
Provider Business Practice Location Address Details
Address
302 W Fletcher Ave
City
Tampa
State
Florida
Zip
33612-3415
Phone Number
813-397-5305
Fax Number
person
Provider Business Mailing Address Details
Address
302 W Fletcher Ave
City
Tampa
State
Florida
Zip
33612-3415
Phone Number
813-397-5305
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS041693 (Pennsylvania)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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