Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN 0012521 | FL |
NPI | 1154380913 |
---|---|
Provider Name | Dr. Pedro P. Lense |
First Address | Spring Hill, FL 34606-2437 |
Second Address | Spring Hill, FL 34606-2437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 25/01/2013 |