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Organization
VBDC OF LAKE PARK PLLC
Active
Organization
VBDC OF LAKE PARK PLLC
Active
Other names
Value Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JASON MANN DMD (OWNER)
(478) 733-0857
Entity
Organization
Contact information
Practice address
101 N CONGRESS AVE, LAKE PARK, FL 33403-3804
(478) 733-0857
(478) 254-5709
Mailing address
225 N MACON ST, MACON, GA 31210-6562
(478) 733-0857
(478) 254-5709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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