Provider Demographics
NPI:1316195415
Name:LOZANO, FRANK E JR (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:E
Last Name:LOZANO
Suffix:JR
Gender:M
Credentials:DMD, MS
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Mailing Address - Street 1:2441 NW 43RD ST
Mailing Address - Street 2:SUITE 16
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6676
Mailing Address - Country:US
Mailing Address - Phone:352-376-7335
Mailing Address - Fax:352-378-5769
Practice Address - Street 1:2441 NW 43RD ST
Practice Address - Street 2:SUITE 16
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7469
Practice Address - Country:US
Practice Address - Phone:352-376-7335
Practice Address - Fax:352-378-5769
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN167731223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1316195415OtherFACULTY ASSOCIATES, INC.