Clermont Dentistry Pllc | |
1580 Hooks St Clermont FL 34711 | |
(000) 000-0000 | |
Not Available |
Full Name | Clermont Dentistry Pllc |
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Speciality | Clinic/center - Dental |
Location | 1580 Hooks St, Clermont, Florida |
Authorized Official Name and Position | Peter Kelly (OWNER) |
Authorized Official Contact | 4104103031 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clermont Dentistry Pllc 1580 Hooks St Clermont FL 34711 Ph: () - | Clermont Dentistry Pllc 1580 Hooks St Clermont FL 34711 Ph: (000) 000-0000 |
NPI Number | 1336714377 |
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Provider Enumeration Date | 05/21/2021 |
Last Update Date | 05/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336714377 | NPI | - | NPPES |
DN19430 | Other | FL | STATE LICENSE |
DN22019 | Other | FL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Leonard S Kaplan Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1645 E Hwy 50, Suite 100, Clermont, FL 34711 Phone: 352-742-0484 Fax: 352-742-0923 | |
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