| Ideal Dental Of Clermont Pllc | |
|
2612 S Hwy 27 Ste 600 Clermont FL 34711-6521 | |
| (407) 965-0090 | |
| Not Available |
| Full Name | Ideal Dental Of Clermont Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2612 S Hwy 27 Ste 600, Clermont, Florida |
| Authorized Official Name and Position | Joshua Coussa (OWNER) |
| Authorized Official Contact | 9723318079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Of Clermont Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental Of Clermont Pllc 2612 S Hwy 27 Ste 600 Clermont FL 34711-6521 Ph: (407) 965-0090 |
| NPI Number | 1568074193 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568074193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Leonard S Kaplan Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1645 E Hwy 50, Suite 100, Clermont, FL 34711 Phone: 352-742-0484 Fax: 352-742-0923 | |
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