Individual provider · Type 1 NPI

Mary Lynn Licht, DDS, DMD

General Practice Dentistry · Wellington, FL

NPI number 1679790257 Active

Practice location

11924 W Forest Hill Blvd Ste 10
Wellington, FL 33414-6200

Call (561) 798-0825 Map

Fax (561) 795-9909

Mailing address

2284 Alford Way
Wellington, FL 33414-6200

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X9660 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1679790257

Mary Lynn Licht, DDS, DMD's National Provider Identifier is 1679790257, issued on Apr 18, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wellington, FL. The record was last updated on Jul 8, 2007.