| Bert A Tavary, D.d.s., P.a. | |
|
700 Anastasia Blvd Saint Augustine FL 32080-4616 | |
| (904) 824-3540 | |
| Not Available |
| Full Name | Bert A Tavary, D.d.s., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 700 Anastasia Blvd, Saint Augustine, Florida |
| Authorized Official Name and Position | Bert A Tavary (PRESIDENT) |
| Authorized Official Contact | 9048243540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bert A Tavary, D.d.s., P.a. 700 Anastasia Blvd Saint Augustine FL 32080-4616 Ph: (904) 824-3540 | Bert A Tavary, D.d.s., P.a. 700 Anastasia Blvd Saint Augustine FL 32080-4616 Ph: (904) 824-3540 |
| NPI Number | 1811332356 |
|---|---|
| Provider Enumeration Date | 05/09/2013 |
| Last Update Date | 05/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811332356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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