Sergio Ramiro Vallejo D.M.D

NPI 1184842908 - Dentist - 122300000X

NPI Details
NPI 1184842908
Gender Male
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4335 HIGHLAND PARK BLVD
LAKELAND FL, 33813-1671, US
Phone (863) 648-0046
Fax (863) 647-1410
Business Location
4335 HIGHLAND PARK BLVD
LAKELAND FL, 33813-1671, US
Phone (863) 648-0046
Fax (863) 647-1410
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number FLDN00012087
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According to our database, Dr. Sergio Ramiro Vallejo D.M.D NPI is 1184842908, taxonomy code is 122300000X and license number is FLDN00012087, license state is located at Florida. Sergio Ramiro Vallejo D.M.D physically located at 4335 Highland Park Blvd, Lakeland FL, 33813-1671. NPI Number Sergio Ramiro Vallejo D.M.D has the Individual type.

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1184842908 NPI number is provided on an as is basis without warranty of any kind. 1184842908 is maintained by the National Plan & Provider Enumeration System. The contents of Sergio Ramiro Vallejo D.M.D are for informational purposes only.