| Clearwater Modern Dentistry | |
|
2544 N Mcmullen Booth Rd Clearwater FL 33761-4150 | |
| (727) 286-3588 | |
| (727) 287-4727 |
| Full Name | Clearwater Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2544 N Mcmullen Booth Rd, Clearwater, Florida |
| Authorized Official Name and Position | Minh Pham (OWNER) |
| Authorized Official Contact | 7272863588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Clearwater Modern Dentistry 2544 N Mcmullen Booth Rd Clearwater FL 33761-4150 Ph: (727) 286-3588 |
| NPI Number | 1760156889 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760156889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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