| Lake Worth Orthodontics | |
|
6045 Hagen Ranch Rd Suite 2 Lake Worth FL 33467-7251 | |
| (561) 408-2972 | |
| Not Available |
| Full Name | Lake Worth Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6045 Hagen Ranch Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Marc L Anderson (OWNER) |
| Authorized Official Contact | 5614082972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Worth Orthodontics 6045 Hagen Ranch Rd Suite 2 Lake Worth FL 33467-7251 Ph: (561) 408-2972 | Lake Worth Orthodontics 6045 Hagen Ranch Rd Suite 2 Lake Worth FL 33467-7251 Ph: (561) 408-2972 |
| NPI Number | 1932658978 |
|---|---|
| Provider Enumeration Date | 10/03/2016 |
| Last Update Date | 10/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932658978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN16898 (California) | Primary |
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