Kathleen Dental Care | |
7255 Kathleen Rd Lakeland FL 33810-4722 | |
(863) 274-3410 | |
(863) 450-4820 |
Full Name | Kathleen Dental Care |
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Speciality | Dentist - General Practice |
Location | 7255 Kathleen Rd, Lakeland, Florida |
Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kathleen Dental Care 7255 Kathleen Rd Lakeland FL 33810-4722 Ph: (863) 274-3410 | Kathleen Dental Care 7255 Kathleen Rd Lakeland FL 33810-4722 Ph: (863) 274-3410 |
NPI Number | 1013534023 |
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Provider Enumeration Date | 06/26/2020 |
Last Update Date | 01/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013534023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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