The Dentist Place For Kids - Brooksville | |
12005 Cortez Blvd Brooksville FL 34613-7372 | |
(352) 596-5063 | |
(352) 596-7822 |
Full Name | The Dentist Place For Kids - Brooksville |
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Speciality | Dentist - General Practice |
Location | 12005 Cortez Blvd, Brooksville, Florida |
Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
Authorized Official Contact | 2175408312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Dentist Place For Kids - Brooksville 12005 Cortez Blvd Brooksville FL 34613-7372 Ph: (352) 596-5063 | The Dentist Place For Kids - Brooksville 12005 Cortez Blvd Brooksville FL 34613-7372 Ph: (352) 596-5063 |
NPI Number | 1518170752 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 05/13/2016 |
Identifier | Type | State | Issuer |
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1518170752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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