| Land O Lakes Pediatric Dentistry, Llc | |
|
5442 Land O Lakes Blvd Land O Lakes FL 34639-3413 | |
| (813) 579-8492 | |
| (813) 333-7323 |
| Full Name | Land O Lakes Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5442 Land O Lakes Blvd, Land O Lakes, Florida |
| Authorized Official Name and Position | Nellie Lin (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8135798492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Land O Lakes Pediatric Dentistry, Llc 16688 N Dale Mabry Hwy Tampa FL 33618-1400 Ph: (813) 579-8492 | Land O Lakes Pediatric Dentistry, Llc 5442 Land O Lakes Blvd Land O Lakes FL 34639-3413 Ph: (813) 579-8492 |
| NPI Number | 1871362632 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871362632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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