| NPI | 1568095065 |
|---|---|
| Doing Business As | CENTRAL FLORIDA HEALTH CARE- LAKELAND HILLS DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANN CLAUSSEN CEO 863-291-5110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-06-10 |