Forest Lake Dental Group

NPI #1871783787 in Apopka, Florida

Provider Information

NPI Number: 1871783787
Entity Type: Organization
Organization Name: Forest Lake Dental Group
Primary Specialty: Dentist
Enumeration Date: Jul 26, 2007
Last Updated: Jan 14, 2016

Practice Location

Address: 628 NORTH BEAR LAKE ROAD
City: Apopka
State: Florida
ZIP Code: 32703
Phone: (407) 862-1231

Authorized Official

Name: DR. CARLOS MANUEL MARTIN, DDS
Title: OWNER
Phone: (407) 862-1231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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