Ada34, PA
NPI #1043917610 in Lake Placid, Florida
Provider Information
- NPI Number
- 1043917610
- Entity Type
- Organization
- Organization Name
- Ada34, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 14, 2023
- Last Updated
- Feb 14, 2023
Practice Location
- Address
- 408 W INTERLAKE BLVD
- City
- Lake Placid
- State
- Florida
- ZIP Code
- 33852-0700
- Phone
- (863) 465-2037
Authorized Official
- Name
- DR. ANDREW DORMESHIAN, DMD
- Title
- OWNER
- Phone
- (917) 847-6976
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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