| Lakewood Dental Excellence, P.a. | |
|
5255 Office Park Blvd Ste 112 Bradenton FL 34203-3443 | |
| (941) 739-7770 | |
| (941) 739-7770 |
| Full Name | Lakewood Dental Excellence, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5255 Office Park Blvd Ste 112, Bradenton, Florida |
| Authorized Official Name and Position | Richard M Kernagis (PRESIDENT) |
| Authorized Official Contact | 9417397770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dental Excellence, P.a. 5255 Office Park Blvd Ste 112 Bradenton FL 34203-3443 Ph: (941) 739-7770 | Lakewood Dental Excellence, P.a. 5255 Office Park Blvd Ste 112 Bradenton FL 34203-3443 Ph: (941) 739-7770 |
| NPI Number | 1295483956 |
|---|---|
| Provider Enumeration Date | 03/12/2022 |
| Last Update Date | 03/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295483956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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