Organization
GREENLAKE MANAGEMENT, LLC
Active
Other names
Hometown Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN WESTCOTT DMD (OWNER)
(561) 366-7303
Entity
Organization
Contact information
Practice address
10625 N MILITARY TRL STE 201, PALM BEACH GARDENS, FL 33410-6548
(561) 366-7303
(561) 366-7305
Mailing address
10625 N MILITARY TRL STE 201, PALM BEACH GARDENS, FL 33410-6548
(561) 366-7303
(561) 366-7305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN19072
FL
1223G0001X
General Practice Dentistry
Primary
DN19762
FL
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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