Lake Myrtle Center for Advanced Dentistry
NPI #1477895464 in Auburndale, Florida
Provider Information
- NPI Number
- 1477895464
- Entity Type
- Organization
- Organization Name
- Lake Myrtle Center for Advanced Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 18, 2013
- Last Updated
- Mar 18, 2013
Practice Location
- Address
- 2016 US HIGHWAY 92 W
- City
- Auburndale
- State
- Florida
- ZIP Code
- 33823-3921
- Phone
- (863) 662-9973
Authorized Official
- Name
- HENRY ACOSTA, D.M.D,
- Title
- DENTIST
- Phone
- (863) 662-9973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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