| Lakes Plaza Dental Associates, Pa | |
|
290 Indian Trce Weston FL 33326-4509 | |
| (954) 349-4004 | |
| Not Available |
| Full Name | Lakes Plaza Dental Associates, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 290 Indian Trce, Weston, Florida |
| Authorized Official Name and Position | Stephen J Pyle (PRESIDENT) |
| Authorized Official Contact | 9543494004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Plaza Dental Associates, Pa 290 Indian Trce Weston FL 33326-4509 Ph: (954) 349-4004 | Lakes Plaza Dental Associates, Pa 290 Indian Trce Weston FL 33326-4509 Ph: (954) 349-4004 |
| NPI Number | 1740333723 |
|---|---|
| Provider Enumeration Date | 01/21/2007 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740333723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 9895 (Florida) | Primary |
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