| Prosthodontics & Implant Dentistry, Pa | |
|
200 Avenue K Se Ste 4 Winter Haven FL 33880-4000 | |
| (863) 294-4484 | |
| (863) 662-4234 |
| Full Name | Prosthodontics & Implant Dentistry, Pa |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 200 Avenue K Se Ste 4, Winter Haven, Florida |
| Authorized Official Name and Position | Viet Ho (PRESIDENT) |
| Authorized Official Contact | 8632944484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosthodontics & Implant Dentistry, Pa 200 Avenue K Se Ste 4 Winter Haven FL 33880-4000 Ph: (863) 294-4484 | Prosthodontics & Implant Dentistry, Pa 200 Avenue K Se Ste 4 Winter Haven FL 33880-4000 Ph: (863) 294-4484 |
| NPI Number | 1760183800 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760183800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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