LUMINA DENTAL OF LUTZ, PA

LUTZ, FL
NPI1952949141
Entity TypeOrganization
Authorized ContactJOHN D IVEY
Owner
813-381-5858
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2019-12-18
Last Update Date2019-12-18
Business Address
LUMINA DENTAL OF LUTZ, PA
2425 BRUNELLO TRCE
LUTZ, FL 33558-7800
Phone number: 813-381-5858
Mailing Address
LUMINA DENTAL OF LUTZ, PA
2945 GUINEVERE DR
TITUSVILLE, FL 32780-5916
Phone number: 321-431-2208
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