| Cdpg, P.l. | |
|
510 Sw 5th Ter Williston FL 32696-2548 | |
| (352) 528-6401 | |
| Not Available |
| Full Name | Cdpg, P.l. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 510 Sw 5th Ter, Williston, Florida |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cdpg, P.l. 510 Sw 5th Ter Williston FL 32696-2548 Ph: (352) 528-6401 | Cdpg, P.l. 510 Sw 5th Ter Williston FL 32696-2548 Ph: (352) 528-6401 |
| NPI Number | 1316608052 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316608052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |