Imperial Boulevard Management,Llc Valid NPI
Organization · Dentist · Lakeland, FL
- NPI
- 1851557078
- Type
- Organization (Type 2)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 1190925 (FL)
- Enumerated
- 2008-08-07
- Last updated
- 2008-08-07
Practice location
225 Imperial Blvd
Lakeland, FL 33803-4612
(863) 644-4739