| NPI | 1487292454 |
|---|---|
| Doing Business As | LUMINA DENTAL OF LAKELAND |
| Entity Type | Organization |
| Authorized Contact | JOHN IVEY Owner 321-431-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |