Summit Park Dental, INC
NPI #1053662395 in Lady Lake, Florida
Provider Information
- NPI Number
- 1053662395
- Entity Type
- Organization
- Organization Name
- Summit Park Dental, INC
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 26, 2012
- Last Updated
- Sep 26, 2012
Practice Location
Authorized Official
- Name
- PHUONG TA
- Title
- PRESIDENT / OWNER
- Phone
- (352) 255-5538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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