Organization
BUENOS AIRES DENTAL, INC
Active
Other names
Lake Quality Dental, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHUONG (HELENE) D TA DDS (PRESIDENT/ OWNER)
(352) 255-5538
Entity
Organization
Contact information
Practice address
1503 BUENOS AIRES BLVD STE 125, THE VILLAGES, FL 32159-6821
(352) 753-5838
(352) 391-5837
Mailing address
1503 BUENOS AIRES BLVD STE 125, THE VILLAGES, FL 32159-6821
(352) 753-5838
(352) 391-5837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14668
FL
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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