| Advanced Dental Clinic Pa | |
|
311 Airport Rd Panama City FL 32405 | |
| (850) 914-0550 | |
| (850) 914-8511 |
| Full Name | Advanced Dental Clinic Pa |
|---|---|
| Speciality | Dentist |
| Location | 311 Airport Rd, Panama City, Florida |
| Authorized Official Name and Position | Tarek H Elzawahry (PRESIDENT OWNER) |
| Authorized Official Contact | 8509140550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Clinic Pa 311 Airport Rd Panama City FL 32405 Ph: (850) 914-0550 | Advanced Dental Clinic Pa 311 Airport Rd Panama City FL 32405 Ph: (850) 914-0550 |
| NPI Number | 1063420347 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063420347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN14287 (Florida) | Primary |
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