Pediatric Dental Partners Llc | |
255 Se 17th St Ocala FL 34471-5138 | |
(352) 274-9731 | |
Not Available |
Full Name | Pediatric Dental Partners Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 255 Se 17th St, Ocala, Florida |
Authorized Official Name and Position | Michael A Tarver (MANAGER) |
Authorized Official Contact | 8638991617 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pediatric Dental Partners Llc 255 Se 17th St Ocala FL 34471-5138 Ph: (352) 274-9731 | Pediatric Dental Partners Llc 255 Se 17th St Ocala FL 34471-5138 Ph: (352) 274-9731 |
NPI Number | 1093136004 |
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Provider Enumeration Date | 12/17/2013 |
Last Update Date | 12/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093136004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN18670 (Florida) | Primary |
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