Organization
352-DENTIST, PA
Active
Other names
Dental Discovery, PA
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR GERMAN DMD (CEO)
(352) 336-8478
Entity
Organization
Contact information
Practice address
809 HIGHWAY 466 STE C-102, LADY LAKE, FL 32159-3909
(352) 336-8478
Mailing address
13979 NW 30TH AVE, GAINESVILLE, FL 32606-9311
(352) 284-9045
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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