| Trevisani Oral Surgery The Villages | |
|
929 N Hwy 441 Suite 302 Lady Lake FL 32159 | |
| (352) 751-5100 | |
| (407) 886-2117 |
| Full Name | Trevisani Oral Surgery The Villages |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 929 N Hwy 441, Lady Lake, Florida |
| Authorized Official Name and Position | Tami Vargas (OFFICE MANAGER) |
| Authorized Official Contact | 4078862050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trevisani Oral Surgery The Villages 929 N Us Highway 441 Lady Lake FL 32159-3001 Ph: () - | Trevisani Oral Surgery The Villages 929 N Hwy 441 Suite 302 Lady Lake FL 32159 Ph: (352) 751-5100 |
| NPI Number | 1689160434 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689160434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN13576 (Florida) | Primary |
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