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Organization

PELICAN PEDIATRIC DENTISTRY LLC

Active
Other names
GROWING SMILES
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID LUTHER DMD (MANAGER)
(925) 890-8492
Entity
Organization

Contact information

Practice address
260 BETH STACEY BLVD UNIT 240, LEHIGH ACRES, FL 33936-6074
(925) 890-8492
Mailing address
260 BETH STACEY BLVD UNIT 240, LEHIGH ACRES, FL 33936-6074

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
07/18/2025
Last updated
07/18/2025
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