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Organization
SHIMMERING DENTAL
Active
Organization
SHIMMERING DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM STEIN (OWNER/DENTIST)
(863) 225-5600
Entity
Organization
Contact information
Practice address
6958 SHIMMERING DR, LAKELAND, FL 33813-3331
(863) 225-5600
Mailing address
6958 SHIMMERING DR, LAKELAND, FL 33813-3331
(863) 225-5600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN16366
FL
122300000X
Dentist
Primary
DN17747
FL
1223P0300X
Periodontics
DN16925
FL
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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