| Krystal Clear Dental P.l. | |
|
19445 Shumard Oak Dr Land O Lakes FL 34638-7262 | |
| (813) 849-3695 | |
| Not Available |
| Full Name | Krystal Clear Dental P.l. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19445 Shumard Oak Dr, Land O Lakes, Florida |
| Authorized Official Name and Position | Krystelle Terry Duvert (DENTIST) |
| Authorized Official Contact | 8138493695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal Clear Dental P.l. 18838 Duquesne Dr Tampa FL 33647-3421 Ph: (813) 849-3695 | Krystal Clear Dental P.l. 19445 Shumard Oak Dr Land O Lakes FL 34638-7262 Ph: (813) 849-3695 |
| NPI Number | 1417110537 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417110537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16987 (Florida) | Primary |
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