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Organization
LT DENTAL GROUP, PLLC
Active
Organization
LT DENTAL GROUP, PLLC
Active
Other names
Dream Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LEO TRAN (OWNER)
(941) 525-2795
Entity
Organization
Contact information
Practice address
4326 E STATE ROAD 64, BRADENTON, FL 34208-9000
(941) 525-2795
Mailing address
8437 DOVE BOG TER, PARRISH, FL 34219-5539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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