| NPI | 1982052262 |
|---|---|
| Doing Business As | LADY LAKE SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATIE L MCCANN Owner Dentist 352-282-4785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |