Organization
LAKE WORTH ORTHODONTICS
Active
Other names
Lake Worth Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARC L ANDERSON D.D.S (OWNER)
(561) 408-2972
Entity
Organization
Contact information
Practice address
6045 HAGEN RANCH RD, SUITE 2, LAKE WORTH, FL 33467-7251
(561) 408-2972
Mailing address
6045 HAGEN RANCH RD, SUITE 2, LAKE WORTH, FL 33467-7251
(561) 408-2972
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN16898
CA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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