| Mission Lakes Dental Care | |
|
5516 State Road 7 Suite 132 Lake Worth FL 33449-4613 | |
| (561) 223-1025 | |
| Not Available |
| Full Name | Mission Lakes Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 5516 State Road 7, Lake Worth, Florida |
| Authorized Official Name and Position | Allison Varner (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Lakes Dental Care 5516 State Road 7 Suite 132 Lake Worth FL 33449-4613 Ph: (561) 223-1025 | Mission Lakes Dental Care 5516 State Road 7 Suite 132 Lake Worth FL 33449-4613 Ph: (561) 223-1025 |
| NPI Number | 1477981652 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 10/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477981652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20221 (Florida) | Primary |
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