| Forest Lake Dental Group | |
|
628 North Bear Lake Road Apopka FL 32703 | |
| (407) 862-1231 | |
| (407) 862-1222 |
| Full Name | Forest Lake Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 628 North Bear Lake Road, Apopka, Florida |
| Authorized Official Name and Position | Carlos Manuel Martin (OWNER) |
| Authorized Official Contact | 4078621231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Lake Dental Group 628 North Bear Lake Road Apopka FL 32703 Ph: (407) 862-1231 | Forest Lake Dental Group 628 North Bear Lake Road Apopka FL 32703 Ph: (407) 862-1231 |
| NPI Number | 1871783787 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 01/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871783787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14761 (Florida) | Primary |
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