| NPI | 1851557078 |
|---|---|
| Doing Business As | LAKELAND PEDIATIRC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ANGEL NICHOLS Turstee 863-644-4739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 1190925) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |