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
State
Florida
ZIP Code
32212-0140
Phone
(904) 542-7200

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - ProsthodonticsProsthodontics

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