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3845 S Florida Ave Lakeland FL 33813-1109 | |
| (863) 607-9030 | |
| (863) 607-9033 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3845 S Florida Ave, Lakeland, Florida |
| Authorized Official Name and Position | Tanya Livingston (OFFICE MANAGER) |
| Authorized Official Contact | 8636079030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3845 S Florida Ave Lakeland FL 33813-1109 Ph: (863) 607-9030 | 3845 S Florida Ave Lakeland FL 33813-1109 Ph: (863) 607-9030 |
| NPI Number | 1023217700 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 10/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023217700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Affordable Dentures & Implants - Lakeland, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3615 S Florida Ave Ste 1230, Lakeland, FL 33803 Phone: 863-701-7404 |