Full Name | |
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Speciality | Dentist - General Practice |
Location | 65 Cr 542w, Bushnell, Florida |
Authorized Official Name and Position | Joseph Brent Novak (PRESIDENT) |
Authorized Official Contact | 3525690100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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65 Cr 542w Bushnell FL 33513-4515 Ph: (352) 569-0100 | 65 Cr 542w Bushnell FL 33513-4515 Ph: (352) 569-0100 |
NPI Number | 1841447190 |
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Provider Enumeration Date | 08/19/2008 |
Last Update Date | 03/26/2009 |
Identifier | Type | State | Issuer |
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1841447190 | NPI | - | NPPES |