East Lake Dental Pllc

NPI #1518421924 in St. Cloud, Florida

Provider Information

NPI Number
1518421924
Entity Type
Organization
Organization Name
East Lake Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 30, 2019
Last Updated
Jan 30, 2019

Practice Location

Address
903 N. NARCOOSSEE RD
State
Florida
ZIP Code
34771
Phone
(321) 236-1393

Authorized Official

Name
DR. CHACHY REEMA PHILIP, DMD
Title
OWNER
Phone
(407) 346-4873

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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