Organization · Type 2 NPI
Lake Butler Dental Group PA
Dental Clinic/Center · Winter Garden, FL
NPI number
1124732698
Active
Practice location
4014 Winter Garden Vineland Road, Suite B
Winter Garden, FL 34787
Fax (321) 418-8920
Mailing address
PO Box 920050
Dallas, TX 75392-0050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1124732698
Lake Butler Dental Group PA's National Provider Identifier is 1124732698, issued on Jan 10, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Winter Garden, FL. The record was last updated on Jan 10, 2023.