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352-Dentist, PA — NPI 1487496337, Lady Lake, FL | NPI Central

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NPI 1487496337

OrganizationActive

352-Dentist, PA

NPI 1487496337 · Dental Clinic/Center · Lady Lake, FL

Provider details

NPI number: 1487496337
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Igor German, Ceo

Practice location

809 Highway 466 Ste C-102

Lady Lake, FL 32159-3909

Phone: (352) 336-8478

More FL providers

Mailing address

13979 Nw 30th Ave

Gainesville, FL 32606-9311

Registry dates

Enumerated: 2024-06-11
Last updated: 2024-06-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.