DR. David Lennard Paclibare Vizconde, DMD

NPI #1093373508 in Evansville, Indiana

Provider Information

NPI Number: 1093373508
Entity Type: Individual
Name: DR. David Lennard Paclibare Vizconde, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 30, 2019
Last Updated: Aug 5, 2019

Practice Location

Address: 508 N GREEN RIVER RD
City: Evansville
State: Indiana
ZIP Code: 47715-2412
Phone: (812) 618-9357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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