| Fundora My Dentist. Llc | |
|
28550 Us 19th Hwy N Clearwater FL 33761 | |
| (786) 247-6079 | |
| Not Available |
| Full Name | Fundora My Dentist. Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 28550 Us 19th Hwy N, Clearwater, Florida |
| Authorized Official Name and Position | Marcel Fundora (OWNER) |
| Authorized Official Contact | 7273001594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fundora My Dentist. Llc 28550 Us 19th Hwy N Clearwater FL 33761 Ph: (786) 247-6079 | Fundora My Dentist. Llc 28550 Us 19th Hwy N Clearwater FL 33761 Ph: (786) 247-6079 |
| NPI Number | 1447979331 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447979331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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