| Spring Lake Dental | |
|
1192 Havendale Blvd Nw Winter Haven FL 33881-1360 | |
| (863) 295-6555 | |
| (863) 293-0810 |
| Full Name | Spring Lake Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1192 Havendale Blvd Nw, Winter Haven, Florida |
| Authorized Official Name and Position | Rahim Bhanji (OWNER) |
| Authorized Official Contact | 8635853256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Lake Dental 1192 Havendale Blvd Nw Winter Haven FL 33881-1360 Ph: (863) 295-6555 | Spring Lake Dental 1192 Havendale Blvd Nw Winter Haven FL 33881-1360 Ph: (863) 295-6555 |
| NPI Number | 1134322431 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134322431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN0014530 (Florida) | Primary |
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