Chain of Lakes Dental PA
NPI #1639719859 in Windermere, Florida
Provider Information
- NPI Number
- 1639719859
- Entity Type
- Organization
- Organization Name
- Chain of Lakes Dental PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 15, 2020
- Last Updated
- Jan 15, 2020
Practice Location
- Address
- 1805 MAGUIRE ROAD
- Address 2
- SUITE 159
- City
- Windermere
- State
- Florida
- ZIP Code
- 34786
- Phone
- (407) 876-6708
Authorized Official
- Name
- VIVEK NERIKAR, DMD
- Title
- DMD- DENTIST OWNER
- Phone
- (904) 553-4859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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