Organization
LAKELAND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ALAN CASTOR D.M.D (DENTIST)
(229) 482-1100
Entity
Organization
Contact information
Practice address
33 HOSPITAL DR, LAKELAND, GA 31635-5716
(229) 482-1100
(229) 482-1103
Mailing address
33 HOSPITAL DR, LAKELAND, GA 31635-5716
(229) 482-1100
(229) 482-1103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013346
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426342256A
—
GA
Enumeration date
08/31/2006
Last updated
06/14/2012
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