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Organization
LG DENTAL GROUP
Active
Organization
LG DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ M GUERRA D.D.S (GENERAL DENTIST)
(407) 240-4900
Entity
Organization
Contact information
Practice address
12927 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6592
(407) 240-4900
(407) 240-1113
Mailing address
12927 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6592
(407) 240-4900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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