| |
900 Hooks Street 100 Clermont FL 34711 | |
(352) 360-7274 | |
(352) 877-4379 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 900 Hooks Street, Clermont, Florida |
Authorized Official Name and Position | Katie L Mccann (OWNER DENTIST) |
Authorized Official Contact | 3523607274 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 900 Hooks Street 100 Clermont FL 34711 Ph: (352) 360-7274 |
NPI Number | 1174071500 |
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Provider Enumeration Date | 09/14/2016 |
Last Update Date | 09/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174071500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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