Polliwog Dental Llc | |
255 Se 17th St Ocala FL 34471 | |
(352) 274-9731 | |
(352) 274-9731 |
Full Name | Polliwog Dental Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 255 Se 17th St, Ocala, Florida |
Authorized Official Name and Position | Michael A Tarver (OWNER) |
Authorized Official Contact | 8638991617 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Polliwog Dental Llc 255 Se 17th St Ocala FL 34471 Ph: (352) 274-9731 | Polliwog Dental Llc 255 Se 17th St Ocala FL 34471 Ph: (352) 274-9731 |
NPI Number | 1588944987 |
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Provider Enumeration Date | 08/17/2011 |
Last Update Date | 08/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588944987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DN18670 (Florida) | Primary |
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