Cala Hills Endodontics | |
2130 Sw 22nd Pl Ste 101 Ocala FL 34471-7754 | |
(352) 291-9360 | |
(352) 291-9363 |
Full Name | Cala Hills Endodontics |
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Speciality | Clinic/center - Dental |
Location | 2130 Sw 22nd Pl Ste 101, Ocala, Florida |
Authorized Official Name and Position | Demetrick Lecorn (ENDODONTIST) |
Authorized Official Contact | 3522919360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cala Hills Endodontics 2130 Sw 22nd Pl Ste 101 Ocala FL 34471-7754 Ph: (352) 291-9360 | Cala Hills Endodontics 2130 Sw 22nd Pl Ste 101 Ocala FL 34471-7754 Ph: (352) 291-9360 |
NPI Number | 1215196761 |
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Provider Enumeration Date | 06/09/2008 |
Last Update Date | 06/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215196761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN16008 (Florida) | Primary |
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