|
| |
|
11625 Lachlan Lane Windermere FL 34786 | |
| (407) 605-2144 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11625 Lachlan Lane, Windermere, Florida |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11625 Lachlan Lane Windermere FL 34786 Ph: (407) 605-2144 | 11625 Lachlan Lane Windermere FL 34786 Ph: (407) 605-2144 |
| NPI Number | 1740702158 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740702158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Imagine Smiles Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13205 Reams Rd Unit 164, Windermere, FL 34786 Phone: 864-906-6179 | |
Columbia Dental Associates Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11228 Bridge House Rd, Windermere, FL 34786 Phone: 407-446-7940 Fax: 407-944-1434 | |
Pediatric Dentistry And Orthodontics Of Windermere, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4769 The Grove Drive, Ste 118, Windermere, FL 34786 Phone: 407-270-3997 Fax: 407-374-5975 |