Lake Wales Dental Associates
NPI #1942384961 in Lake Wales, Florida
Provider Information
- NPI Number
- 1942384961
- Entity Type
- Organization
- Organization Name
- Lake Wales Dental Associates
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Aug 30, 2007
Practice Location
- Address
- 23871 HWY 27
- City
- Lake Wales
- State
- Florida
- ZIP Code
- 33859-7811
- Phone
- (863) 678-3177
Authorized Official
- Name
- DAVID E JUNCA
- Title
- PRESIDENT
- Phone
- (863) 678-3177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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