Provider Demographics
NPI:1245961556
Name:LAMAS, ESTEFANIA (DMD)
Entity type:Individual
Prefix:DR
First Name:ESTEFANIA
Middle Name:
Last Name:LAMAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19340 SW 31ST CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5819
Mailing Address - Country:US
Mailing Address - Phone:954-790-4736
Mailing Address - Fax:
Practice Address - Street 1:20841 JOHNSON ST STE 104
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1922
Practice Address - Country:US
Practice Address - Phone:954-885-5351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-19
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN270761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice