| Lake Forest Endodontics, Pa | |
|
5264 W State Road 46 Unit C4 Sanford FL 32771 | |
| (407) 577-3636 | |
| (407) 317-4099 |
| Full Name | Lake Forest Endodontics, Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5264 W State Road 46, Sanford, Florida |
| Authorized Official Name and Position | Timothy J Temple (PRESIDENT) |
| Authorized Official Contact | 4074237667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Forest Endodontics, Pa 610 N Mills Ave Ste 210 Orlando FL 32803 Ph: (407) 423-7667 | Lake Forest Endodontics, Pa 5264 W State Road 46 Unit C4 Sanford FL 32771 Ph: (407) 577-3636 |
| NPI Number | 1982225132 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982225132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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