| Highland Park Dental | |
|
4326 Highland Park Blvd Lakeland FL 33813-1647 | |
| (863) 644-6418 | |
| (863) 644-6419 |
| Full Name | Highland Park Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4326 Highland Park Blvd, Lakeland, Florida |
| Authorized Official Name and Position | Mical Slater (PREIDENT) |
| Authorized Official Contact | 8636446418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Park Dental 4326 Highland Park Blvd Lakeland FL 33813-1647 Ph: (863) 644-6418 | Highland Park Dental 4326 Highland Park Blvd Lakeland FL 33813-1647 Ph: (863) 644-6418 |
| NPI Number | 1881064343 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 09/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881064343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN18120 (Florida) | Primary |
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