| Riverview Endodontics Llc | |
|
27399 Riverview Center Blvd Ste 104 Bonita Springs FL 34134-4311 | |
| (239) 408-3636 | |
| Not Available |
| Full Name | Riverview Endodontics Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 27399 Riverview Center Blvd Ste 104, Bonita Springs, Florida |
| Authorized Official Name and Position | Ingmar Andrea Hernandez (OWNER DENTIST) |
| Authorized Official Contact | 2394083636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Endodontics Llc 27399 Riverview Center Blvd Ste 104 Bonita Springs FL 34134-4311 Ph: (239) 408-3636 | Riverview Endodontics Llc 27399 Riverview Center Blvd Ste 104 Bonita Springs FL 34134-4311 Ph: (239) 408-3636 |
| NPI Number | 1326872417 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326872417 | NPI | - | NPPES |
| DN24712 | Other | FL | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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