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Organization
TIMBERLANE FAMILY DENTISTRY
Active
Organization
TIMBERLANE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MISSY DARLENE DEGOLYER (RECEPTION)
(352) 746-9111
Entity
Organization
Contact information
Practice address
1972 N FUTURE TER, LECANTO, FL 34461-9341
(352) 746-9111
(352) 746-7180
Mailing address
1972 N FUTURE TER, LECANTO, FL 34461-9341
(352) 746-9111
(352) 746-7180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
593246519
FL
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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