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Organization
LAKE WALES DENTAL ASSOCIATES
Active
Organization
LAKE WALES DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E JUNCA (PRESIDENT)
(863) 678-3177
Entity
Organization
Contact information
Practice address
23871 HWY 27, LAKE WALES, FL 33859-7811
(863) 678-3177
(863) 678-3188
Mailing address
23871 HWY 27, LAKE WALES, FL 33859-7811
(863) 678-3177
(863) 678-3188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11827
FL
Other
Enumeration date
10/25/2006
Last updated
08/30/2007
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