| Lw Pediatric Dentistry Pa | |
|
6910 Lake Worth Rd Lake Worth FL 33467-2978 | |
| (561) 770-7321 | |
| (561) 725-0762 |
| Full Name | Lw Pediatric Dentistry Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6910 Lake Worth Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Drew Popper (OWNER) |
| Authorized Official Contact | 2034156875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lw Pediatric Dentistry Pa 6910 Lake Worth Rd Lake Worth FL 33467-2978 Ph: (561) 770-7321 | Lw Pediatric Dentistry Pa 6910 Lake Worth Rd Lake Worth FL 33467-2978 Ph: (561) 770-7321 |
| NPI Number | 1104450121 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 02/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104450121 | NPI | - | NPPES |
| 017151100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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