Organization
MARION DENTAL GROUP
Active
Other names
Lady Lake Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
PETE BILAN (CFO)
(941) 232-8433
Entity
Organization
Contact information
Practice address
13690 N US HIGHWAY 441 STE 100, LADY LAKE, FL 32159-6809
(352) 259-0822
Mailing address
13690 N US HIGHWAY 441 STE 100, LADY LAKE, FL 32159-6809
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/29/2026
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