| Lake Miona Dental Care | |
|
4232 E County Road 466 Suite 101 Oxford FL 34484 | |
| (352) 461-0830 | |
| (352) 461-0853 |
| Full Name | Lake Miona Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4232 E County Road 466, Oxford, Florida |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Miona Dental Care 4232 E County Road 466 Suite 101 Oxford FL 34484 Ph: (352) 461-0830 | Lake Miona Dental Care 4232 E County Road 466 Suite 101 Oxford FL 34484 Ph: (352) 461-0830 |
| NPI Number | 1124571500 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124571500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Central Fl Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11905 N Us Highway 301, Oxford, FL 34484 Phone: 352-748-7645 Fax: 352-748-9865 |