| Rose Dental At Lakewood Ranch, Pllc | |
|
5561 Broadcast Ct Lakewood Ranch FL 34240-8472 | |
| (941) 210-3975 | |
| (941) 487-7905 |
| Full Name | Rose Dental At Lakewood Ranch, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5561 Broadcast Ct, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Rose Hoang Le (OWNER) |
| Authorized Official Contact | 9412103975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Dental At Lakewood Ranch, Pllc 5561 Broadcast Ct Lakewood Ranch FL 34240-8472 Ph: (561) 309-6657 | Rose Dental At Lakewood Ranch, Pllc 5561 Broadcast Ct Lakewood Ranch FL 34240-8472 Ph: (941) 210-3975 |
| NPI Number | 1891468328 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891468328 | NPI | - | NPPES |
| 1972916930 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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