Organization
LAKELAND PERIODONTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L TODD (INSURANCE COORDINATOR)
(863) 687-9227
Entity
Organization
Contact information
Practice address
3003 S FLORIDA AVE, SUITE 201, LAKELAND, FL 33803-4050
(863) 687-9227
(863) 687-2813
Mailing address
3003 S FLORIDA AVE, SUITE 201, LAKELAND, FL 33803-4050
(863) 687-9227
(863) 687-2813
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/24/2006
Last updated
08/22/2020
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