Organization
JOHN D. LIGHT, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D. LIGHT DMD (OWNER)
(561) 965-9345
Entity
Organization
Contact information
Practice address
3015 S CONGRESS AVE, SUITE #3, PALM SPRINGS, FL 33461-2111
(561) 965-9345
(561) 965-1774
Mailing address
3015 S CONGRESS AVE, SUITE #3, PALM SPRINGS, FL 33461-2111
(561) 965-9345
(561) 965-1774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN8418
FL
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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