Organization
ADVANCED DENTISTRY OF GAINESVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN SEBASTIAN LALAMA DMD, MS (OWNER)
(352) 376-7335
Entity
Organization
Contact information
Practice address
4411 NW 8TH AVE STE A, GAINESVILLE, FL 32605-4520
(352) 376-7335
Mailing address
4411 NW 8TH AVE STE A, GAINESVILLE, FL 32605-4520
(352) 376-7335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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