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2945 Lakeland Hills Blvd Lakeland FL 33805-2223 | |
| (863) 688-4106 | |
| (863) 688-5818 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2945 Lakeland Hills Blvd, Lakeland, Florida |
| Authorized Official Name and Position | Maher N Farag (PRESIDENT) |
| Authorized Official Contact | 8636884106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2945 Lakeland Hills Blvd Lakeland FL 33805-2223 Ph: (863) 688-4106 | 2945 Lakeland Hills Blvd Lakeland FL 33805-2223 Ph: (863) 688-4106 |
| NPI Number | 1316372717 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 09/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316372717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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