Lores, Gustavo E

Lores, Gustavo E is an individual health care provider with primary practice located at 2005 Knight Lane Bldg H Navy Medicine Support Command, Jacksonville FL 32212-0140. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Lores, Gustavo E can be contacted via phone (904) 542-7200.

Contact Information

Primary practice address
2005 Knight Lane Bldg H Navy Medicine Support Command Jacksonville FL 32212-0140
Phone: (904) 542-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17760 Florida
Dental Providers / Prosthodontics 1223P0700X 17760 Florida

Profile Details

NPI number 1235227398
LBN Legal business name Lores, Gustavo E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Dec 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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