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Organization
THE VILLAGE DENTAL CARE, PA
Active
Organization
THE VILLAGE DENTAL CARE, PA
Active
Other names
Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD P HALL II D.M.D. (VICE PRESIDENT)
(352) 753-7507
Entity
Organization
Contact information
Practice address
111 LAGRANDE BLVD, THE VILLAGES, FL 32159-1302
(352) 753-7507
(352) 753-5079
Mailing address
PO BOX 1900, LADY LAKE, FL 32158-1900
(352) 753-7507
(352) 753-5079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
08/10/2011
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