| Laurel Manor Center For Comprehensive Denistry, P.a. | |
|
1950 Laurel Manor Dr Suite 180 The Villages FL 32162-5603 | |
| (352) 430-1710 | |
| Not Available |
| Full Name | Laurel Manor Center For Comprehensive Denistry, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1950 Laurel Manor Dr, The Villages, Florida |
| Authorized Official Name and Position | Don J. Ilkka (PRESIDENT) |
| Authorized Official Contact | 3524301710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Manor Center For Comprehensive Denistry, P.a. 1950 Laurel Manor Dr Suite 180 The Villages FL 32162-5603 Ph: (352) 430-1710 | Laurel Manor Center For Comprehensive Denistry, P.a. 1950 Laurel Manor Dr Suite 180 The Villages FL 32162-5603 Ph: (352) 430-1710 |
| NPI Number | 1861556755 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861556755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 9239 (Florida) | Primary |
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