Organization
LAKEWOOD DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LEE DMD (PRESIDENT, CEO, DENTIST)
(904) 990-4832
Entity
Organization
Contact information
Practice address
2845 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2116
(904) 990-4832
Mailing address
7016 GAINES CT, JACKSONVILLE, FL 32217-2672
(904) 990-4832
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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