Lake View Family Dentistry PA
NPI #1487750378 in Bayonet Point, Florida
Provider Information
- NPI Number
- 1487750378
- Entity Type
- Organization
- Organization Name
- Lake View Family Dentistry PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13728 OFFICE PARK COURT
- City
- Bayonet Point
- State
- Florida
- ZIP Code
- 34667
- Phone
- (727) 863-9669
Authorized Official
- Name
- DR. STEPHEN M DURETT, DMD
- Title
- PRESIDENT
- Phone
- (727) 863-9669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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