| Davenport Dental Associates Llc | |
|
2213 North Blvd W Davenport FL 33837-8990 | |
| (863) 256-3636 | |
| Not Available |
| Full Name | Davenport Dental Associates Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2213 North Blvd W, Davenport, Florida |
| Authorized Official Name and Position | Ivan Zamora (PRESIDENT) |
| Authorized Official Contact | 3055864500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davenport Dental Associates Llc 2213 North Blvd W Davenport FL 33837-8990 Ph: (863) 256-3636 | Davenport Dental Associates Llc 2213 North Blvd W Davenport FL 33837-8990 Ph: (863) 256-3636 |
| NPI Number | 1508522368 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508522368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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