| Lake Quality Dental, Inc | |
|
1503 Buenos Aires Blvd Ste 125 The Villages FL 32159-6821 | |
| (352) 753-5838 | |
| (352) 391-5837 |
| Full Name | Lake Quality Dental, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1503 Buenos Aires Blvd Ste 125, The Villages, Florida |
| Authorized Official Name and Position | Phuong (helene) D Ta (PRESIDENT/ OWNER) |
| Authorized Official Contact | 3522555538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Quality Dental, Inc 1503 Buenos Aires Blvd Ste 125 The Villages FL 32159-6821 Ph: (352) 753-5838 | Lake Quality Dental, Inc 1503 Buenos Aires Blvd Ste 125 The Villages FL 32159-6821 Ph: (352) 753-5838 |
| NPI Number | 1467691212 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467691212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN14668 (Florida) | Primary |
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