Lake Village Dental
Lake Village Dental is a Public Health Dentistry in Fruitland Park, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3261 S US Highway 27 # 441E-1Fruitland Park, FL 34731-4497
Phone: (352) 314-2729
Fax: (352) 314-9889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health Dentistry (primary) | Taxonomy 1223D0001X |
|---|
Record details
| NPI number | 1760073217 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vamsi Kallepalli — Dentist · (352) 314-2729 |
| NPI enumerated | January 28, 2021 |
| Last updated in NPPES | January 28, 2021 |
| Certification date | January 28, 2021 |
| Mailing address | 3261 S Us Highway 27 # 441e-1, Fruitland Park, FL 34731-4497 |