| Dentistry Of North Port Pa | |
|
13801 Tamiami Trl Ste B North Port FL 34287-2017 | |
| (941) 200-5812 | |
| Not Available |
| Full Name | Dentistry Of North Port Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13801 Tamiami Trl Ste B, North Port, Florida |
| Authorized Official Name and Position | Rosa Hernandez (DENTIST/OWNER) |
| Authorized Official Contact | 7546109880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry Of North Port Pa 13801 Tamiami Trl Ste B North Port FL 34287-2017 Ph: (941) 200-5812 | Dentistry Of North Port Pa 13801 Tamiami Trl Ste B North Port FL 34287-2017 Ph: (941) 200-5812 |
| NPI Number | 1891465779 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891465779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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