| Lakeland Dentistry | |
|
4335 Highland Park Blvd Ste 2 Lakeland FL 33813-1627 | |
| (863) 648-0046 | |
| (863) 647-1410 |
| Full Name | Lakeland Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4335 Highland Park Blvd Ste 2, Lakeland, Florida |
| Authorized Official Name and Position | Marie Kuhl (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Dentistry 4335 Highland Park Blvd Ste 2 Lakeland FL 33813-1627 Ph: (863) 648-0046 | Lakeland Dentistry 4335 Highland Park Blvd Ste 2 Lakeland FL 33813-1627 Ph: (863) 648-0046 |
| NPI Number | 1831441724 |
|---|---|
| Provider Enumeration Date | 10/03/2012 |
| Last Update Date | 10/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831441724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Charles D. Llano, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 West Highland Drive, Lakeland, FL 33813 Phone: 863-644-2428 Fax: 863-644-6235 | |
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