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Organization
LAKELAND ORAL SURGERY AND SPECIALTY CENTER PLLC
Active
Organization
LAKELAND ORAL SURGERY AND SPECIALTY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JOHNSON (CRO)
(941) 444-0558
Entity
Organization
Contact information
Practice address
3845 S FLORIDA AVE, LAKELAND, FL 33813-1122
(863) 226-4486
Mailing address
3845 S FLORIDA AVE, LAKELAND, FL 33813-1122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/21/2026
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