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Dr. Mary Lynn Licht, DDS,DMD
General Practice Dentistry in Wellington, Florida
NPI 1679790257

Mary Lynn Licht is a General Practice Dentistry based in Wellington, FL and is specialized in General Practice. Mary Lynn Licht practices in Wellington, FL and has the professional credentials of DDS,DMD. The NPI Number for Mary Lynn Licht is 1679790257 and holds a License No. 9660 (Florida).

The current practice location address for Mary Lynn Licht is 11924 W Forest Hill Blvd Ste 10, Wellington, FL and can be reached out via phone at 561-798-0825 and via fax at 561-795-9909.

Location: 11924 W Forest Hill Blvd Ste 10, Wellington, FL, 33414-6200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679790257
Provider Name
Mary Lynn Licht
Credential
DDS,DMD
Provider Entity Type
Individual
Gender
Female
Address
11924 W Forest Hill Blvd Ste 10, Wellington, FL, 33414-6200
Phone Number
561-798-0825
Fax Number
561-795-9909
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
576405 01 FL UNITED CONCORDIA
67438 01 FL B.C.B.S. OF FLA
institution
Provider Business Practice Location Address Details
Address
11924 W Forest Hill Blvd Ste 10
City
Wellington
State
Florida
Zip
33414-6200
Phone Number
561-798-0825
Fax Number
561-795-9909
person
Provider Business Mailing Address Details
Address
11924 W Forest Hill Blvd Ste 10
City
Wellington
State
Florida
Zip
33414-6200
Phone Number
561-798-0825
Fax Number
561-795-9909
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9660 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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