| Lakewood Dentistry #2, Pllc | |
|
1580 Wells Rd Ste 20 Orange Park FL 32073-2342 | |
| (904) 278-9011 | |
| Not Available |
| Full Name | Lakewood Dentistry #2, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1580 Wells Rd Ste 20, Orange Park, Florida |
| Authorized Official Name and Position | Joseph Lee (OWNER/PRESIDENT) |
| Authorized Official Contact | 7862522617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dentistry #2, Pllc Po Box 37737 Jacksonville FL 32236-7737 Ph: (786) 252-2617 | Lakewood Dentistry #2, Pllc 1580 Wells Rd Ste 20 Orange Park FL 32073-2342 Ph: (904) 278-9011 |
| NPI Number | 1922742329 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922742329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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