| Beacon Woods Family Dentistry Pa | |
|
12036 Cobblestone Dr Hudson FL 34667-2413 | |
| (727) 862-7664 | |
| Not Available |
| Full Name | Beacon Woods Family Dentistry Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12036 Cobblestone Dr, Hudson, Florida |
| Authorized Official Name and Position | Abdul Hameed Khan (PRESIDENT) |
| Authorized Official Contact | 7273645697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Woods Family Dentistry Pa 12036 Cobblestone Dr Hudson FL 34667-2413 Ph: () - | Beacon Woods Family Dentistry Pa 12036 Cobblestone Dr Hudson FL 34667-2413 Ph: (727) 862-7664 |
| NPI Number | 1396133724 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396133724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9928 (Florida) | Primary |
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