| New Image Dentistry St Cloud-kissimmee | |
|
3101 13th St Saint Cloud FL 34769-5925 | |
| (407) 957-2000 | |
| Not Available |
| Full Name | New Image Dentistry St Cloud-kissimmee |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3101 13th St, Saint Cloud, Florida |
| Authorized Official Name and Position | Annettte Marlow (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7246982119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dentistry St Cloud-kissimmee 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: () - | New Image Dentistry St Cloud-kissimmee 3101 13th St Saint Cloud FL 34769-5925 Ph: (407) 957-2000 |
| NPI Number | 1568941300 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568941300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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