| Martin Kids Dental Health Team Of Lake City, Pllc | |
|
875 Sw State Road 47 Lake City FL 32025-0433 | |
| (386) 752-8200 | |
| Not Available |
| Full Name | Martin Kids Dental Health Team Of Lake City, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 875 Sw State Road 47, Lake City, Florida |
| Authorized Official Name and Position | Celia S Martin (OWNER) |
| Authorized Official Contact | 3867528200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Kids Dental Health Team Of Lake City, Pllc 875 Sw State Road 47 Lake City FL 32025-0433 Ph: (386) 752-8200 | Martin Kids Dental Health Team Of Lake City, Pllc 875 Sw State Road 47 Lake City FL 32025-0433 Ph: (386) 752-8200 |
| NPI Number | 1538583802 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538583802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN19462 (Florida) | Primary |
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