| Dr Luis Angel Estrada, DDS | |
|
1296 W Broad St, Groveland, FL 34736-2012 | |
| (407) 905-8827 | |
| (352) 429-1257 |
| Full Name | Dr Luis Angel Estrada |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1296 W Broad St, Groveland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245258565 | NPI | - | NPPES |
| 0757934-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | DN13946 (Florida) | Secondary |
| 1223G0001X | Dentist - General Practice | DN13946 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis Angel Estrada, DDS 110 S Woodland St, Winter Garden, FL 34787-3546 Ph: (407) 905-8827 | Dr Luis Angel Estrada, DDS 1296 W Broad St, Groveland, FL 34736-2012 Ph: (407) 905-8827 |
Gary Michael Lease, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1296 W Broad St, Groveland, FL 34736 Phone: 407-905-8827 Fax: 352-429-1257 | |
Dr. Catalin Teodoru, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1296 W Broad St, Groveland, FL 34736 Phone: 407-905-8827 Fax: 352-429-1257 |