| Classic Dental, Inc. | |
|
4267 W Lake Mary Blvd Lake Mary FL 32746-2411 | |
| (407) 302-7774 | |
| (407) 302-5651 |
| Full Name | Classic Dental, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 4267 W Lake Mary Blvd, Lake Mary, Florida |
| Authorized Official Name and Position | Ceasar M. Garcia (OWNER) |
| Authorized Official Contact | 4073027774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Classic Dental, Inc. 4267 W Lake Mary Blvd Lake Mary FL 32746-2411 Ph: (407) 302-7774 | Classic Dental, Inc. 4267 W Lake Mary Blvd Lake Mary FL 32746-2411 Ph: (407) 302-7774 |
| NPI Number | 1821259383 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821259383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN11075 (Florida) | Primary |
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