Lake Baldwin Dental Pa | |
950 Lake Baldwin Ln Orlando FL 32814-6651 | |
(407) 515-8500 | |
(407) 515-3039 |
Full Name | Lake Baldwin Dental Pa |
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Speciality | Dentist |
Location | 950 Lake Baldwin Ln, Orlando, Florida |
Authorized Official Name and Position | William B Dunn (OWNER) |
Authorized Official Contact | 4075158500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake Baldwin Dental Pa 950 Lake Baldwin Ln Orlando FL 32814-6651 Ph: (407) 515-8500 | Lake Baldwin Dental Pa 950 Lake Baldwin Ln Orlando FL 32814-6651 Ph: (407) 515-8500 |
NPI Number | 1114211273 |
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Provider Enumeration Date | 06/07/2011 |
Last Update Date | 06/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114211273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN16156 (Florida) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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