| East Lake Dental Pllc | |
|
903 N. Narcoossee Rd St. Cloud FL 34771 | |
| (321) 236-1393 | |
| Not Available |
| Full Name | East Lake Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 903 N. Narcoossee Rd, St. Cloud, Florida |
| Authorized Official Name and Position | Chachy Reema Philip (OWNER) |
| Authorized Official Contact | 4073464873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Lake Dental Pllc 4352 Summer Breeze Way Kissimmee FL 34744-9603 Ph: (321) 236-1393 | East Lake Dental Pllc 903 N. Narcoossee Rd St. Cloud FL 34771 Ph: (321) 236-1393 |
| NPI Number | 1518421924 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 01/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518421924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Canoe Creek Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Old Canoe Creek Rd, St. Cloud, FL 34772 Phone: 321-926-4159 | |
Murray Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 Neptune Rd, St. Cloud, FL 34769 Phone: 407-957-5363 Fax: 407-957-4093 |