| Renato J. Aves, Llc | |
|
1301 Grasslands Blvd Ste 200 Lakeland FL 33803-5488 | |
| (813) 885-6555 | |
| Not Available |
| Full Name | Renato J. Aves, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1301 Grasslands Blvd Ste 200, Lakeland, Florida |
| Authorized Official Name and Position | Julie Marie Wangelin (COO) |
| Authorized Official Contact | 8138856555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renato J. Aves, Llc 1301 Grasslands Blvd Ste 200 Lakeland FL 33803-5488 Ph: (813) 885-6555 | Renato J. Aves, Llc 1301 Grasslands Blvd Ste 200 Lakeland FL 33803-5488 Ph: (813) 885-6555 |
| NPI Number | 1558061440 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558061440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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