Organization
DOCTORS LAKE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO PADRON (PROSTHODONTIST/OWNER)
(904) 264-6700
Entity
Organization
Contact information
Practice address
1665 EAGLE HARBOR PKWY, FLEMING ISLAND, FL 32003-4802
(904) 264-6700
(904) 264-6855
Mailing address
1665 EAGLE HARBOR PKWY, FLEMING ISLAND, FL 32003-4802
(904) 264-6700
(904) 264-6855
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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