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Organization
SCOTT M BAKOS DDS PA
Active
Organization
SCOTT M BAKOS DDS PA
Active
Other names
Lee Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M BAKOS DDS (PRESIDENT)
(239) 936-3436
Entity
Organization
Contact information
Practice address
3436 CLEVELAND AVE, FORT MYERS, FL 33901-7108
(239) 936-3436
(239) 936-4615
Mailing address
3436 CLEVELAND AVE, FORT MYERS, FL 33901-7108
(239) 936-3436
(239) 936-4615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN14878
FL
1223G0001X
General Practice Dentistry
DN16220
FL
1223G0001X
General Practice Dentistry
Primary
DN9533
FL
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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