| Smiles At Lakewood Ranch | |
|
14606 Sr 70 E Lakewood Ranch FL 34202 | |
| (941) 216-3803 | |
| (941) 216-4003 |
| Full Name | Smiles At Lakewood Ranch |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14606 Sr 70 E, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles At Lakewood Ranch 14606 Sr 70 E Lakewood Ranch FL 34202 Ph: (941) 216-3803 | Smiles At Lakewood Ranch 14606 Sr 70 E Lakewood Ranch FL 34202 Ph: (941) 216-3803 |
| NPI Number | 1780130336 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780130336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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