Lake Dental Services, P.a.

NPI 1255444634 - Dentist - 1223P0300X

NPI Details
NPI 1255444634
Enumeration Date 08/17/2006
Last Updated 08/21/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEPHANIE STEPHANIE
Position PROVIDER RELATIONS
Phone (407) 865-9100
Fax
Practice Location
820 STATE RD. 434 N.
SUITE B
ALTAMONTE SPRINGS FL, 32714, US
Phone (407) 865-9100
Fax
Business Location
13195 SW 134 ST
2ND FLOOR
MIAMI FL, 33186, US
Phone (305) 274-2499
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State
License Number
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According to our database, Lake Dental Services, P.a. NPI is 1255444634, taxonomy code is 1223P0300X Lake Dental Services, P.a. physically located at 820 State Rd. 434 N., Altamonte Springs FL, 32714. NPI Number 1033115704 has the healthcare provider type.

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1255444634 NPI number is provided on an as is basis without warranty of any kind. 1255444634 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Dental Services, P.a. are for informational purposes only.