| Lake Butler Dental Group Pa | |
|
4014 Winter Garden Vineland Road Suite B Winter Garden FL 34787 | |
| (321) 248-2923 | |
| (321) 418-8920 |
| Full Name | Lake Butler Dental Group Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4014 Winter Garden Vineland Road, Winter Garden, Florida |
| Authorized Official Name and Position | Minh Pham (OWNER) |
| Authorized Official Contact | 3212482923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Butler Dental Group Pa Po Box 920050 Dallas TX 75392-0050 Ph: () - | Lake Butler Dental Group Pa 4014 Winter Garden Vineland Road Suite B Winter Garden FL 34787 Ph: (321) 248-2923 |
| NPI Number | 1124732698 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124732698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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