Individual provider · Type 1 NPI

Glenda Ivis De la Paz, DMD

General Practice Dentistry · Port Charlotte, FL

NPI number 1972242360 Active

About NPI 1972242360

Glenda Ivis De la Paz, DMD's National Provider Identifier is 1972242360, issued on Jun 2, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Port Charlotte, FL. The record was last updated on Jun 3, 2022.