Spring Lake Dental
NPI #1134322431 in Winter Haven, Florida
Provider Information
- NPI Number
- 1134322431
- Entity Type
- Organization
- Organization Name
- Spring Lake Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 6, 2007
- Last Updated
- Aug 2, 2007
Practice Location
- Address
- 1192 HAVENDALE BLVD NW
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33881-1360
- Phone
- (863) 295-6555
Authorized Official
- Name
- RAHIM BHANJI, DMD
- Title
- OWNER
- Phone
- (863) 585-3256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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