Lady Lake Dental Care, LLC

NPI #1376966598 in Lady Lake, Florida

Provider Information

NPI Number: 1376966598
Entity Type: Organization
Organization Name: Lady Lake Dental Care, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 23, 2014
Last Updated: Jan 23, 2014

Practice Location

Address: 13915 N US HIGHWAY 441
City: Lady Lake
State: Florida
ZIP Code: 32159-8924
Phone: (352) 753-6365

Authorized Official

Name: MS. SONIA E J
Title: MGR
Phone: (321) 945-9545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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