| NPI | 1154750180 |
|---|---|
| Doing Business As | COMPLETE DENTAL OF LAKE CITY |
| Entity Type | Organization |
| Authorized Contact | ALLISON VARNER Insurance Credentialing 217-540-6077 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN19236) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |