Organization
DENTAL ARTS OF ST LUCIE WEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW TODD LAGER DMD (PRESIDENT)
(772) 878-7300
Entity
Organization
Contact information
Practice address
1420 SW ST LUCIE WEST BLVD, SUITE 105, PORT ST LUCIE, FL 34986-1709
(772) 878-7300
(772) 878-9200
Mailing address
1420 SW ST LUCIE WEST BLVD, SUITE 105, PORT ST LUCIE, FL 34986-1709
(772) 878-7300
(772) 878-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14323
FL
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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