| Snj Dental Studio, Llc | |
|
3436 S Florida Ave Ste 100 Lakeland FL 33803-4765 | |
| (863) 607-4700 | |
| (863) 607-4434 |
| Full Name | Snj Dental Studio, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3436 S Florida Ave Ste 100, Lakeland, Florida |
| Authorized Official Name and Position | Michelle Jacomino-barnes (DIRECTOR CREDENTIALING & ENROLLMENT) |
| Authorized Official Contact | 8002773633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snj Dental Studio, Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Snj Dental Studio, Llc 3436 S Florida Ave Ste 100 Lakeland FL 33803-4765 Ph: (863) 607-4700 |
| NPI Number | 1083474340 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083474340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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