Clermont Pediatric Dentistry, Pllc | |
3165 Citrus Tower Blvd Clermont FL 34711-6883 | |
(352) 241-6333 | |
Not Available |
Full Name | Clermont Pediatric Dentistry, Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 3165 Citrus Tower Blvd, Clermont, Florida |
Authorized Official Name and Position | Julie M Russo (PARTNER) |
Authorized Official Contact | 3522416333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clermont Pediatric Dentistry, Pllc 3165 Citrus Tower Blvd Clermont FL 34711-6883 Ph: (352) 241-6333 | Clermont Pediatric Dentistry, Pllc 3165 Citrus Tower Blvd Clermont FL 34711-6883 Ph: (352) 241-6333 |
NPI Number | 1598234015 |
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Provider Enumeration Date | 11/14/2018 |
Last Update Date | 11/14/2018 |
Identifier | Type | State | Issuer |
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1598234015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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