| Lt Dental Group, Pllc | |
|
4326 E State Road 64 Bradenton FL 34208-9000 | |
| (941) 525-2795 | |
| Not Available |
| Full Name | Lt Dental Group, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4326 E State Road 64, Bradenton, Florida |
| Authorized Official Name and Position | Leo Tran (OWNER) |
| Authorized Official Contact | 9415252795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lt Dental Group, Pllc 8437 Dove Bog Ter Parrish FL 34219-5539 Ph: () - | Lt Dental Group, Pllc 4326 E State Road 64 Bradenton FL 34208-9000 Ph: (941) 525-2795 |
| NPI Number | 1205654514 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205654514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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