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Organization
SUPREME CARE DENTAL ASSOCIATES, LLC
Active
Organization
SUPREME CARE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JANE WOMELSDORFF (OFFICE MANAGER)
(561) 296-5557
Entity
Organization
Contact information
Practice address
7138 S MILITARY TRL, LAKE WORTH, FL 33463-7812
(561) 296-5557
(561) 296-2557
Mailing address
7138 S MILITARY TRL, LAKE WORTH, FL 33463-7812
(561) 296-5557
(561) 296-2557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14459
FL
Other
Enumeration date
10/24/2011
Last updated
03/28/2012
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