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1454 Madison Ave W Immokalee FL 34142-2200 | |
(239) 658-3064 | |
(239) 658-3175 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1454 Madison Ave W, Immokalee, Florida |
Authorized Official Name and Position | Sandra Steele (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2396583003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7007 Lely Cultural Pkwy Edison College Building L Naples FL 34113-8976 Ph: (239) 775-3052 | 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3064 |
NPI Number | 1003065723 |
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Provider Enumeration Date | 09/18/2008 |
Last Update Date | 11/10/2021 |
Identifier | Type | State | Issuer |
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1003065723 | NPI | - | NPPES |
Immokalee Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 W. Main St., Unit 6a, Immokalee, FL 34142 Phone: 239-657-7007 |