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Organization
GERMAN FAMILY DENTISTRY LLC
Active
Organization
GERMAN FAMILY DENTISTRY LLC
Active
Other names
352 Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR GERMAN DMD (MBR)
(352) 284-9045
Entity
Organization
Contact information
Practice address
809 HIGHWAY 466 STE C102, LADY LAKE, FL 32159-3909
(352) 336-8478
Mailing address
13979 NW 30TH AVE, GAINESVILLE, FL 32606-9311
(352) 284-9045
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
08/05/2024
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