| Citrus Dental Association, P.a. | |
|
314 S Line Ave Inverness FL 34452-4606 | |
| (352) 726-5854 | |
| (352) 726-6893 |
| Full Name | Citrus Dental Association, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 314 S Line Ave, Inverness, Florida |
| Authorized Official Name and Position | Edwin L Holland (PRESIDENT) |
| Authorized Official Contact | 3527265854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Dental Association, P.a. 314 S Line Ave Inverness FL 34452-4606 Ph: (352) 726-5854 | Citrus Dental Association, P.a. 314 S Line Ave Inverness FL 34452-4606 Ph: (352) 726-5854 |
| NPI Number | 1417032566 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417032566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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