Modern Dentistry Of St. Cloud | |
3300 Canoe Creek Rd Ste I Saint Cloud FL 34772-6511 | |
(713) 851-5977 | |
Not Available |
Full Name | Modern Dentistry Of St. Cloud |
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Speciality | Dentist - General Practice |
Location | 3300 Canoe Creek Rd Ste I, Saint Cloud, Florida |
Authorized Official Name and Position | Yang Hua (OWNER) |
Authorized Official Contact | 7138515977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Modern Dentistry Of St. Cloud 7225 Crossroads Garden Dr Apt 4208 Orlando FL 32821-5225 Ph: () - | Modern Dentistry Of St. Cloud 3300 Canoe Creek Rd Ste I Saint Cloud FL 34772-6511 Ph: (713) 851-5977 |
NPI Number | 1861991986 |
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Provider Enumeration Date | 02/04/2018 |
Last Update Date | 02/04/2018 |
Identifier | Type | State | Issuer |
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1861991986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DN21280 (Florida) | Primary |
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