Gary Michael Lease, DMD | |
1296 W Broad St, Groveland, FL 34736-2012 | |
(407) 905-8827 | |
(352) 429-1257 |
Full Name | Gary Michael Lease |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1296 W Broad St, Groveland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316945751 | NPI | - | NPPES |
071836000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN13231 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gary Michael Lease, DMD Po Box 1249, Apopka, FL 32704-1249 Ph: (407) 905-8827 | Gary Michael Lease, DMD 1296 W Broad St, Groveland, FL 34736-2012 Ph: (407) 905-8827 |
Dr. Luis Angel Estrada, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1296 W Broad St, Groveland, FL 34736 Phone: 407-905-8827 Fax: 352-429-1257 | |
Dr. Catalin Teodoru, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1296 W Broad St, Groveland, FL 34736 Phone: 407-905-8827 Fax: 352-429-1257 |