Organization
FOREST LAKE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS MANUEL MARTIN DDS (OWNER)
(407) 862-1231
Entity
Organization
Contact information
Practice address
628 NORTH BEAR LAKE ROAD, APOPKA, FL 32703
(407) 862-1231
(407) 862-1222
Mailing address
628 NORTH BEAR LAKE ROAD, APOPKA, FL 32703
(407) 862-1231
(407) 862-1222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14761
FL
Other
Enumeration date
07/26/2007
Last updated
01/14/2016
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