| Lakeside Family Dentistry | |
|
3002 E Semoran Blvd Ste 1000 Apopka FL 32703-5939 | |
| (407) 774-6622 | |
| (407) 774-5750 |
| Full Name | Lakeside Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3002 E Semoran Blvd Ste 1000, Apopka, Florida |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Family Dentistry 3002 E Semoran Blvd Ste 1000 Apopka FL 32703-5939 Ph: (407) 774-6622 | Lakeside Family Dentistry 3002 E Semoran Blvd Ste 1000 Apopka FL 32703-5939 Ph: (407) 774-6622 |
| NPI Number | 1417169285 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 01/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417169285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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