Organization
AFFORDABLE DENTURES - LAKELAND, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THACH V PHAM DMD (OWNER)
(863) 701-7404
Entity
Organization
Contact information
Practice address
3615 S FLORIDA AVE STE 1230, LAKELAND, FL 33803-4808
(863) 701-7404
(863) 701-7580
Mailing address
3615 S FLORIDA AVE STE 1230, LAKELAND, FL 33803-4808
(863) 701-7404
(863) 701-7580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/09/2011
Last updated
01/09/2011
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