TERESA E LOZANO MD DDS PA
Medical Practice at Brickell Bay Dr, Miami, FL

License number
Florida ME88197
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
Owner
Name: DR. TERESA ELENA LOZANO MD, DDS
Title: DIRECTOR
Phone: (305) 379-6037
Address
Address
1155 Brickell Bay Dr APT 1103, Miami, FL 33131
National Provider ID: 1760494678
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TERESA E. LOZANO, MD, DDS, PA

Miami, FL

Industry:
Dentist's Office
Registration:
Jun 12, 2003
Addresses:
6200 Sunset Dr 402, Miami, FL 33143 (Physical)
1155 Brickell Bay Dr 1103, Miami, FL 33131 (Mailing)
1155 Brickell Bay Dr, Miami, FL 33131
6200 Sunset Dr, Miami, FL 33143
State ID:
P03000066082
Business type:
Florida Profit Corporation
Directors:
Md Lozano, 1155 Brickell Bay Dr #1103, Miami, FL 33131 (Physical),Teresa E. Lozano (Director)
Agent:
Lozano, Teresa E, Md,1155 Brickell Bay Dr, Miami, FL 33131 (Physical)
EIN:
77-0604788

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