SUMMIT PARK DENTAL, INC
Dentist in Lady Lake, FL

License number
Florida ND14668
Category
Dentist
Type
Dentist
Owner
Name: PHUONG TA
Title: PRESIDENT / OWNER
Phone: (352) 255-5538
Address
Address 2
723 Cr 466, Lady Lake, FL 32159
440 Chinahill Ct, Apopka, FL 32712
National Provider ID: 1053662395
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SUMMIT PARK DENTAL, INC at bizstanding.com

Summit Park Dental, Inc

Apopka, FL  -  Lady Lake, FL  -  Grand Island, FL

Registration:
Jul 7, 2009
Addresses:
440 Chinahill Ct, Apopka, FL 32712
723 County Rd 466, Lady Lake, FL 32159
36800 Winfield Ct, Grand Island, FL 32735
State ID:
P09000058589
Business type:
Domestic for Profit Corporation
Director:
Phuong D. Ta (Director)

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