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1982454310
ACOSTA DENTAL, LLC
LAKE CITY, FL
NPI
1982454310
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Entity Type
Organization
Authorized Contact
VALERIE HAMILTON
Director Of Contracting
315-454-6000
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2024-03-26
Last Update Date
2024-06-05
Business Address
ACOSTA DENTAL, LLC
2143 W US HIGHWAY 90 STE A
LAKE CITY, FL 32055-7726
Phone number: 386-243-2031
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Mailing Address
ACOSTA DENTAL, LLC
PO BOX 70887
CLEVELAND, OH 44190-0887
Phone number:
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