Provider First Line Business Practice Location Address:
8454 NORTHCLIFFE BLVD
Provider Second Line Business Practice Location Address:
LAKESIDE FAMILY DENTAL CARE
Provider Business Practice Location Address City Name:
SPRING HILL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34606-1140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-686-1122
Provider Business Practice Location Address Fax Number:
352-688-8693
Provider Enumeration Date:
04/02/2007