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NPI Code Detail

MEDICARE: DR. IDELBIS LAGO-SANCHEZ DMD

MEDICARE:  DR. IDELBIS  LAGO-SANCHEZ  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN 20246FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003248824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IDELBIS LAGO-SANCHEZ DMD
Provider Business Mailing Address
First Line : 7437 PINE TREE LN
Second Line : LAKE CLARKE SHORES
City : WEST PALM BEACH
State : FL
Zip : 33406-6820
Country : US
Telephone Number : 561-201-1713
Fax Number :
Provider Business Practice Location Address
First Line : 3729 LAKE WORTH RD
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-4033
Country : US
Telephone Number : 561-201-8078
Fax Number : 561-584-7726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2013
Last Update Date : 07/21/2022

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Directions to “ DR. IDELBIS LAGO-SANCHEZ DMD” Practice Location

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