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Organization
ROSE DENTAL AT LAKEWOOD RANCH, PLLC
Active
Organization
ROSE DENTAL AT LAKEWOOD RANCH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE HOANG LE DMD (OWNER)
(941) 210-3975
Entity
Organization
Contact information
Practice address
5561 BROADCAST CT, LAKEWOOD RANCH, FL 34240-8472
(941) 210-3975
(941) 487-7905
Mailing address
5561 BROADCAST CT, LAKEWOOD RANCH, FL 34240-8472
(561) 309-6657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972916930
NPI
FL
Enumeration date
07/29/2021
Last updated
08/12/2021
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