| Pavilion Crossing Dental Care | |
|
3711 Us Hwy 301 Riverview FL 33578 | |
| (813) 518-8561 | |
| Not Available |
| Full Name | Pavilion Crossing Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3711 Us Hwy 301, Riverview, Florida |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavilion Crossing Dental Care 3711 Us Hwy 301 Riverview FL 33578 Ph: () - | Pavilion Crossing Dental Care 3711 Us Hwy 301 Riverview FL 33578 Ph: (813) 518-8561 |
| NPI Number | 1457742272 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 02/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457742272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18222 (Florida) | Primary |
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