Halcyon Dental, P.a. | |
13051 Summerfield Square Dr Riverview FL 33578-7402 | |
(813) 672-4900 | |
Not Available |
Full Name | Halcyon Dental, P.a. |
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Speciality | Clinic/center - Dental |
Location | 13051 Summerfield Square Dr, Riverview, Florida |
Authorized Official Name and Position | Erika Caviedes (PRESIDENT) |
Authorized Official Contact | 8136724900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Halcyon Dental, P.a. 13051 Summerfield Square Dr Riverview FL 33578-7402 Ph: (813) 672-4900 | Halcyon Dental, P.a. 13051 Summerfield Square Dr Riverview FL 33578-7402 Ph: (813) 672-4900 |
NPI Number | 1902247612 |
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Provider Enumeration Date | 07/10/2013 |
Last Update Date | 07/10/2013 |
Identifier | Type | State | Issuer |
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1902247612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN17508 (Florida) | Secondary |
261QD0000X | Clinic/center - Dental | DN17483 (Florida) | Primary |
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