Organization
LADY LAKE DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONIA E J (MGR)
(321) 945-9545
Entity
Organization
Contact information
Practice address
13915 N US HIGHWAY 441, LADY LAKE, FL 32159-8924
(352) 753-6365
(352) 753-9865
Mailing address
13915 N US HIGHWAY 441, LADY LAKE, FL 32159-8924
(352) 753-6365
(352) 753-9865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13227
FL
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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