Individual
JOHN D LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3015 CONGRESS AVE, SUITE 3, LAKE WORTH, FL 33461-2111
(561) 965-9345
(561) 965-1774
Mailing address
3015 CONGRESS AVE, SUITE 3, LAKE WORTH, FL 33461-2111
(561) 965-9345
(561) 965-1774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FL8418
FL
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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