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GUSTAVO PARDO DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1306254156

Individual Registrant:
 GUSTAVO  PARDO DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
930 S MAIN ST  LABELLE, FL 33935-4448 US
Tel: 863-675-0387  Fax: 863-675-3246

Contact information for business:
PO BOX 919771  ORLANDO, FL 32891-9771 US
Tel: 239-278-3600  Fax: 239-226-4650

Registration Information:
NPI: 1306254156
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FLDN20829

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
012768900FL05




HEALTH CARE JOBS FL - Page 1



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