DR. Gustavo E Lores, DDS
NPI #1235227398 in Jacksonville, Florida
Provider Information
- NPI Number
- 1235227398
- Entity Type
- Individual
- Name
- DR. Gustavo E Lores, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Prosthodontics
- Credential
- DDS
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Dec 27, 2023
Practice Location
- Address
- 2005 KNIGHT LANE BLDG H
- Address 2
- NAVY MEDICINE SUPPORT COMMAND
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32212-0140
- Phone
- (904) 542-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Prosthodontics — Prosthodontics |
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