LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY NPI 1477895464

NPI Information

LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY is a general practice dentist in Auburndale, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY NPI is 1477895464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2016 US HIGHWAY 92 W
AUBURNDALE, FL
ZIP 33823-921
Phone: (863) 662-9973
Fax: (863) 875-5736

The provider's authorized official is Henry Acosta .
The authorized official title is Dentist and has the following contact phone number (863) 662-9973.

The enumeration date for this NPI number is 3/18/2013 and was last updated on 3/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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