| Ada34, Pa | |
|
408 W Interlake Blvd Lake Placid FL 33852-0700 | |
| (863) 465-2037 | |
| Not Available |
| Full Name | Ada34, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 408 W Interlake Blvd, Lake Placid, Florida |
| Authorized Official Name and Position | Andrew Dormeshian (OWNER) |
| Authorized Official Contact | 9178476976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ada34, Pa 408 W Interlake Blvd Lake Placid FL 33852-0700 Ph: (863) 465-2037 | Ada34, Pa 408 W Interlake Blvd Lake Placid FL 33852-0700 Ph: (863) 465-2037 |
| NPI Number | 1043917610 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043917610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Sunshine Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 W Interlake Blvd, Lake Placid, FL 33852 Phone: 863-465-2037 Fax: 863-465-1155 | |
Barbara Platte Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 S Main Ave, Lake Placid, FL 33852 Phone: 863-465-7646 |