Organization · Type 2 NPI
352-Dentist, PA
Dental Clinic/Center · Lady Lake, FL
NPI number
1487496337
Active
Practice location
809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909
Mailing address
13979 NW 30th Ave
Gainesville, FL 32606-9311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Lady Lake
About NPI 1487496337
352-Dentist, PA's National Provider Identifier is 1487496337, issued on Jun 11, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lady Lake, FL. The record was last updated on Jun 11, 2024.