Lake Worth Family Dentistry, PA

NPI #1689824153 in Greenacres, Florida

Provider Information

NPI Number: 1689824153
Entity Type: Organization
Organization Name: Lake Worth Family Dentistry, PA
Primary Specialty: Dentist
Enumeration Date: Sep 22, 2008
Last Updated: Sep 22, 2008

Practice Location

Address: 6427 LAKE WORTH RD STE 102
City: Greenacres
State: Florida
ZIP Code: 33463-2900
Phone: (561) 649-6446

Authorized Official

Name: DR. ILYA STEIN, D.M.D.
Title: PRESIDENT
Phone: (555) 555-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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