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Organization
LAKE MARY DENTAL PA
Active
Organization
LAKE MARY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH E PYLE DDS (DENTAL DIRECTOR)
(407) 330-3801
Entity
Organization
Contact information
Practice address
114 TIMBERLACHEN CIR, LAKE MARY, FL 32746-3395
(407) 330-3801
(407) 330-5739
Mailing address
114 TIMBERLACHEN CIR, LAKE MARY, FL 32746-3395
(407) 330-3801
(407) 330-5739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN6106
FL
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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