| Hancock Village Dental | |
|
2560 E Highway 50 Suite 103 Clermont FL 34711-8411 | |
| (352) 989-5815 | |
| (321) 400-1176 |
| Full Name | Hancock Village Dental |
|---|---|
| Speciality | Dentist |
| Location | 2560 E Highway 50, Clermont, Florida |
| Authorized Official Name and Position | Edwin Acosta (PRESIDENT) |
| Authorized Official Contact | 3529895815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hancock Village Dental 2560 E Highway 50 Suite 103 Clermont FL 34711-8411 Ph: (352) 989-5815 | Hancock Village Dental 2560 E Highway 50 Suite 103 Clermont FL 34711-8411 Ph: (352) 989-5815 |
| NPI Number | 1356767610 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 03/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356767610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19583 (Florida) | Primary |
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