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Organization
LAKESIDE DENTAL GROUP
Active
Organization
LAKESIDE DENTAL GROUP
Active
Other names
Transitional Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA D DEAN D.D.S. (OWNER)
(561) 753-6633
Entity
Organization
Contact information
Practice address
1015 N STATE ROAD 7, SUITE B, ROYAL PALM BEACH, FL 33411-5185
(561) 753-6633
(561) 753-6391
Mailing address
1015 N STATE ROAD 7, SUITE B, ROYAL PALM BEACH, FL 33411-5185
(561) 753-6633
(561) 753-6391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11243
FL
1223G0001X
General Practice Dentistry
DN15914
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN11236
FL
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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