| Dental Sleep Medicine Of Southwest Florida Llc | |
|
3001 Del Prado Blvd S Cape Coral FL 33904-7208 | |
| (239) 549-8921 | |
| Not Available |
| Full Name | Dental Sleep Medicine Of Southwest Florida Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3001 Del Prado Blvd S, Cape Coral, Florida |
| Authorized Official Name and Position | Mark Phillip Kraver (OWNER/DENTIST) |
| Authorized Official Contact | 2395498921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Sleep Medicine Of Southwest Florida Llc 3001 Del Prado Blvd S Cape Coral FL 33904-7208 Ph: (239) 549-8921 | Dental Sleep Medicine Of Southwest Florida Llc 3001 Del Prado Blvd S Cape Coral FL 33904-7208 Ph: (239) 549-8921 |
| NPI Number | 1902175771 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902175771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11408 (Florida) | Primary |
| 1223G0001X | Dentist - General Practice | 19091 (Florida) | Secondary |
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