| Citrus Ridge Dental Center, Pa | |
|
194 N Highway 27 Suite F Clermont FL 34711-2448 | |
| (352) 243-0018 | |
| (352) 243-6700 |
| Full Name | Citrus Ridge Dental Center, Pa |
|---|---|
| Speciality | Dentist |
| Location | 194 N Highway 27, Clermont, Florida |
| Authorized Official Name and Position | Kristin C Kalwara (PRESIDENT) |
| Authorized Official Contact | 3522430018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Ridge Dental Center, Pa 194 N Highway 27 Suite F Clermont FL 34711-2448 Ph: (352) 243-0018 | Citrus Ridge Dental Center, Pa 194 N Highway 27 Suite F Clermont FL 34711-2448 Ph: (352) 243-0018 |
| NPI Number | 1023006426 |
|---|---|
| Provider Enumeration Date | 10/10/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023006426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Florida) | Primary |
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