| Lifeway Dental Connections | |
|
9303 Seminole Blvd #d Seminole FL 33772-3100 | |
| (727) 548-5454 | |
| Not Available |
| Full Name | Lifeway Dental Connections |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9303 Seminole Blvd, Seminole, Florida |
| Authorized Official Name and Position | Neil M Brodsky (OWNER) |
| Authorized Official Contact | 7275485454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeway Dental Connections 9303 Seminole Blvd #d Seminole FL 33772-3100 Ph: (727) 548-5454 | Lifeway Dental Connections 9303 Seminole Blvd #d Seminole FL 33772-3100 Ph: (727) 548-5454 |
| NPI Number | 1033268206 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033268206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN0012131 (Florida) | Primary |
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