| Implants, Periodontics & Facial Rejuvenation | |
|
2346 Creel Ln Ste 101 Wesley Chapel FL 33544-4623 | |
| (813) 299-3867 | |
| Not Available |
| Full Name | Implants, Periodontics & Facial Rejuvenation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2346 Creel Ln Ste 101, Wesley Chapel, Florida |
| Authorized Official Name and Position | Todd Merrell Williams (CEO) |
| Authorized Official Contact | 8132993867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Implants, Periodontics & Facial Rejuvenation 2346 Creel Lane #101 Wesley Chapel FL 33544 Ph: (813) 299-3867 | Implants, Periodontics & Facial Rejuvenation 2346 Creel Ln Ste 101 Wesley Chapel FL 33544-4623 Ph: (813) 299-3867 |
| NPI Number | 1104198282 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 02/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104198282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN012810 (Florida) | Primary |
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