| Vidales Dental Corp | |
|
6958 Shimmering Dr Lakeland FL 33813-3331 | |
| (813) 818-8056 | |
| Not Available |
| Full Name | Vidales Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 6958 Shimmering Dr, Lakeland, Florida |
| Authorized Official Name and Position | Mateo Vidales (OWNER) |
| Authorized Official Contact | 8632255600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidales Dental Corp 6958 Shimmering Dr Lakeland FL 33813-3331 Ph: (813) 818-8056 | Vidales Dental Corp 6958 Shimmering Dr Lakeland FL 33813-3331 Ph: (813) 818-8056 |
| NPI Number | 1780466011 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780466011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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