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5057 S Congress Ave Ste 401 Lake Worth FL 33461-4723 | |
| (561) 965-6003 | |
| (561) 965-8447 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5057 S Congress Ave Ste 401, Lake Worth, Florida |
| Authorized Official Name and Position | Colleen Lam (PRESIDENT) |
| Authorized Official Contact | 5619656003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5057 S Congress Ave Ste 401 Lake Worth FL 33461-4723 Ph: (561) 965-6003 | 5057 S Congress Ave Ste 401 Lake Worth FL 33461-4723 Ph: (561) 965-6003 |
| NPI Number | 1235501420 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 10/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235501420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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