Lakeland Modern Dentistry, Pa Dental Clinic

Get detailed information about Lakeland Modern Dentistry, Pa dental clinic in Irvine California.
Lakeland Modern Dentistry, Pa (LAKELAND MODERN DENTISTRY, PA) is a Dental Clinic in Lakeland, Florida. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Lakeland Modern Dentistry, Pa is 1235649518.

The current location address for Lakeland Modern Dentistry, Pa is 4620 S Florida Ave Ste 120, , Lakeland, Florida and the contact number is 863-216-5765 and fax number is --. The mailing address for Lakeland Modern Dentistry, Pa is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - 714-845-8890).


Provider Profile Details:
Clinic NameLakeland Modern Dentistry, Pa
Provider OrganizationLAKELAND MODERN DENTISTRY, PA
Address4620 S Florida Ave Ste 120, ,
Lakeland
Florida, 33813-2166
Phone Number863-216-5765
Fax Number--
Authorized Official NameMinh B. Pham
Authorized Official Title/PositionDds/owner
Authorized Official Contact Number863-216-5765
NPI Number Details:
NPI Number1235649518
Provider Enumeration Date10/02/2017
Last Update Date08/04/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number714-845-8890
Fax Number303-952-0892
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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