| Family Dental Center | |
|
6333 State Road 54 New Port Richey FL 34653-6037 | |
| (727) 841-7711 | |
| Not Available |
| Full Name | Family Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 6333 State Road 54, New Port Richey, Florida |
| Authorized Official Name and Position | Qayyum Khambaty (OWNER) |
| Authorized Official Contact | 7278417711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Center 6333 State Road 54 New Port Richey FL 34653-6037 Ph: (727) 841-7711 | Family Dental Center 6333 State Road 54 New Port Richey FL 34653-6037 Ph: (727) 841-7711 |
| NPI Number | 1568898856 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568898856 | NPI | - | NPPES |
| 077757900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN10323 (Florida) | Primary |
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