| Lady Lake Dental Care, Llc | |
|
13915 N Us Highway 441 Lady Lake FL 32159-8924 | |
| (352) 753-6365 | |
| (352) 753-9865 |
| Full Name | Lady Lake Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 13915 N Us Highway 441, Lady Lake, Florida |
| Authorized Official Name and Position | Sonia E J (MGR) |
| Authorized Official Contact | 3219459545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lady Lake Dental Care, Llc 13915 N Us Highway 441 Lady Lake FL 32159-8924 Ph: (352) 753-6365 | Lady Lake Dental Care, Llc 13915 N Us Highway 441 Lady Lake FL 32159-8924 Ph: (352) 753-6365 |
| NPI Number | 1376966598 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376966598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN13227 (Florida) | Primary |
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