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Organization

CHAIN OF LAKES DENTAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIVEK NERIKAR DMD (DMD- DENTIST OWNER)
(904) 553-4859
Entity
Organization

Contact information

Practice address
1805 MAGUIRE ROAD, SUITE 159, WINDERMERE, FL 34786
(407) 876-6708
(407) 217-5921
Mailing address
175 NW 138TH TERRACE, SUITE 200, JONESVILLE, FL 32669
(352) 332-3080
(352) 333-3729

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/15/2020
Last updated
01/15/2020
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