Jose Ricardo Burgos Polo D.M.D.

NPI 1013903996 - Dentist - 122300000X

NPI Details
NPI 1013903996
Gender Male
Enumeration Date 09/26/2005
Last Updated 09/26/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1805 HOBBS RD
POLK COUNTY HEALTH DEPARTMENT AUBURNDALE DENTAL CLINIC
AUBURNDALE FL, 33823-4644, US
Phone (863) 965-6333
Fax
Business Location
4044 MOUNTAIN CHESTNUT WAY
LAKELAND FL, 33812-4252, US
Phone (863) 660-5401
Fax
Toxanomy
Taxonomy Code 122300000X
License State Puerto Rico
License Number 02586
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According to our database, Dr. Jose Ricardo Burgos Polo D.M.D. NPI is 1013903996, taxonomy code is 122300000X and license number is 02586, license state is located at Puerto Rico. Jose Ricardo Burgos Polo D.M.D. physically located at 1805 Hobbs Rd, Auburndale FL, 33823-4644. NPI Number Jose Ricardo Burgos Polo D.M.D. has the Individual type.

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1013903996 NPI number is provided on an as is basis without warranty of any kind. 1013903996 is maintained by the National Plan & Provider Enumeration System. The contents of Jose Ricardo Burgos Polo D.M.D. are for informational purposes only.