DR. Lara Miriam Greenwald, D.D.S.

NPI #1417126699 in Macclenny, Florida

Provider Information

NPI Number: 1417126699
Entity Type: Individual
Name: DR. Lara Miriam Greenwald, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 21, 2008
Last Updated: Jun 9, 2016

Practice Location

Address: 7487 S STATE ROAD 121
City: Macclenny
State: Florida
ZIP Code: 32063-5451
Phone: (904) 259-6211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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