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870 N Us Highway 27 A Lady Lake FL 32159-3107 | |
| (352) 282-4785 | |
| (352) 432-0752 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 870 N Us Highway 27, Lady Lake, Florida |
| Authorized Official Name and Position | Katie L Mccann (OWNER DENTIST) |
| Authorized Official Contact | 3522824785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 870 N Us Highway 27 A Lady Lake FL 32159-3107 Ph: (352) 282-4785 |
| NPI Number | 1982052262 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 05/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982052262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Lady Lake Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13915 N Us Highway 441, Lady Lake, FL 32159 Phone: 352-753-6365 Fax: 352-753-9865 | |