Organization · Type 2 NPI
Ada34, PA
Dental Clinic/Center · Lake Placid, FL
NPI number
1043917610
Active
Practice location
408 W Interlake Blvd
Lake Placid, FL 33852-0700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1043917610
Ada34, PA's National Provider Identifier is 1043917610, issued on Feb 14, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lake Placid, FL. The record was last updated on Feb 14, 2023.