| Associated Endodontists Of Lake City | |
|
2086 Sw Main Blvd Ste 113 Lake City FL 32025-0006 | |
| (386) 758-6050 | |
| (386) 758-7742 |
| Full Name | Associated Endodontists Of Lake City |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2086 Sw Main Blvd Ste 113, Lake City, Florida |
| Authorized Official Name and Position | Stephanie Walters (RECEIPTIONIST) |
| Authorized Official Contact | 3867586050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Endodontists Of Lake City 2086 Sw Main Blvd Ste 113 Lake City FL 32025-0006 Ph: () - | Associated Endodontists Of Lake City 2086 Sw Main Blvd Ste 113 Lake City FL 32025-0006 Ph: (386) 758-6050 |
| NPI Number | 1588950349 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588950349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN 5418 (Florida) | Primary |
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