John D. Light, Dmd, Pa | |
3015 S Congress Ave Suite #3 Palm Springs FL 33461-2111 | |
(561) 965-9345 | |
(561) 965-1774 |
Full Name | John D. Light, Dmd, Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 3015 S Congress Ave, Palm Springs, Florida |
Authorized Official Name and Position | John D. Light (OWNER) |
Authorized Official Contact | 5619659345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John D. Light, Dmd, Pa 3015 S Congress Ave Suite #3 Palm Springs FL 33461-2111 Ph: (561) 965-9345 | John D. Light, Dmd, Pa 3015 S Congress Ave Suite #3 Palm Springs FL 33461-2111 Ph: (561) 965-9345 |
NPI Number | 1578011623 |
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Provider Enumeration Date | 09/19/2016 |
Last Update Date | 09/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578011623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN8418 (Florida) | Primary |
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