| Lemon Bay Dental Care Pa | |
|
1505 S Mccall Rd Englewood FL 34223-4876 | |
| (941) 474-2664 | |
| (941) 475-5920 |
| Full Name | Lemon Bay Dental Care Pa |
|---|---|
| Speciality | Dentist |
| Location | 1505 S Mccall Rd, Englewood, Florida |
| Authorized Official Name and Position | Andrew J Martineau (OWNER) |
| Authorized Official Contact | 9414742664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemon Bay Dental Care Pa 1505 S Mccall Rd Englewood FL 34223-4876 Ph: (941) 474-2664 | Lemon Bay Dental Care Pa 1505 S Mccall Rd Englewood FL 34223-4876 Ph: (941) 474-2664 |
| NPI Number | 1659704203 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659704203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN12356 (Florida) | Primary |
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