Vbdc of Lake Park Pllc

NPI #1861964116 in Lake Park, Florida

Provider Information

NPI Number: 1861964116
Entity Type: Organization
Organization Name: Vbdc of Lake Park Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 27, 2018
Last Updated: Dec 27, 2018

Practice Location

Address: 101 N CONGRESS AVE
City: Lake Park
State: Florida
ZIP Code: 33403-3804
Phone: (478) 733-0857

Authorized Official

Name: DR. PAUL JASON MANN, DMD
Title: OWNER
Phone: (478) 733-0857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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