| Dentistry Of Tavares | |
|
1941 Salk Ave Tavares FL 32778-4306 | |
| (321) 356-5497 | |
| Not Available |
| Full Name | Dentistry Of Tavares |
|---|---|
| Speciality | Dentist |
| Location | 1941 Salk Ave, Tavares, Florida |
| Authorized Official Name and Position | Clement James Contestable (DENTIST/OWNER) |
| Authorized Official Contact | 3213565497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry Of Tavares 1941 Salk Ave Tavares FL 32778-4306 Ph: (352) 357-4588 | Dentistry Of Tavares 1941 Salk Ave Tavares FL 32778-4306 Ph: (321) 356-5497 |
| NPI Number | 1407515174 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407515174 | NPI | - | NPPES |
| 109499200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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