| Lee D Tatro Dds | |
|
923 W Dixie Ave Leesburg FL 34748 | |
| (352) 728-2639 | |
| (352) 728-5739 |
| Full Name | Lee D Tatro Dds |
|---|---|
| Speciality | Dentist |
| Location | 923 W Dixie Ave, Leesburg, Florida |
| Authorized Official Name and Position | Lee D Tatro (PRESIDENT DENTIST) |
| Authorized Official Contact | 3527282637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee D Tatro Dds 923 W Dixie Ave Leesburg FL 34748 Ph: (352) 728-2639 | Lee D Tatro Dds 923 W Dixie Ave Leesburg FL 34748 Ph: (352) 728-2639 |
| NPI Number | 1669597894 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669597894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6491 (Florida) | Primary |
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