River City Dentistry | |
189 S. Hwy 17/92, Ste 100 Debary FL 32713-1832 | |
(386) 668-2181 | |
(386) 668-8910 |
Full Name | River City Dentistry |
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Speciality | Dentist |
Location | 189 S. Hwy 17/92,, Debary, Florida |
Authorized Official Name and Position | Richard C. Montz (PRES.) |
Authorized Official Contact | 3866682181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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River City Dentistry 189 S. Hwy 17/92, Suite 100 Debary FL 32713-1832 Ph: (386) 668-2181 | River City Dentistry 189 S. Hwy 17/92, Ste 100 Debary FL 32713-1832 Ph: (386) 668-2181 |
NPI Number | 1891940359 |
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Provider Enumeration Date | 11/25/2008 |
Last Update Date | 11/25/2008 |
Identifier | Type | State | Issuer |
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1891940359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN12366 (Florida) | Primary |
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