| Liwen Tao D.d.s., M.s. | |
|
2753 State Road 580 Ste 108 Clearwater FL 33761-3351 | |
| (727) 799-6995 | |
| Not Available |
| Full Name | Liwen Tao D.d.s., M.s. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2753 State Road 580 Ste 108, Clearwater, Florida |
| Authorized Official Name and Position | Liwen Tao (DR) |
| Authorized Official Contact | 7277996995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liwen Tao D.d.s., M.s. 2753 State Road 580 Ste 108 Clearwater FL 33761-3351 Ph: (727) 799-6995 | Liwen Tao D.d.s., M.s. 2753 State Road 580 Ste 108 Clearwater FL 33761-3351 Ph: (727) 799-6995 |
| NPI Number | 1942666284 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 12/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942666284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN0012253 (Florida) | Primary |
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