| Kreative Dental Care Pa | |
|
120 Carter Blvd Ste 7 Polk City FL 33868-8912 | |
| (863) 984-0000 | |
| Not Available |
| Full Name | Kreative Dental Care Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 120 Carter Blvd Ste 7, Polk City, Florida |
| Authorized Official Name and Position | Yalice Mariely Cardona (PRESIDENT) |
| Authorized Official Contact | 7875522631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kreative Dental Care Pa 120 Carter Blvd Ste 7 Polk City FL 33868-8912 Ph: (863) 984-0000 | Kreative Dental Care Pa 120 Carter Blvd Ste 7 Polk City FL 33868-8912 Ph: (863) 984-0000 |
| NPI Number | 1861967333 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 10/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861967333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Artistic Dental Of Polk City, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Carter Blvd, Suite 7, Polk City, FL 33868 Phone: 863-984-0000 |