| Viera Pediatric Dentistry, Pllc | |
|
5600 Porada Dr Ste 102 Viera FL 32940-8082 | |
| (321) 417-0107 | |
| Not Available |
| Full Name | Viera Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5600 Porada Dr Ste 102, Viera, Florida |
| Authorized Official Name and Position | Yoshita Patel Hosking (OWNER) |
| Authorized Official Contact | 3214170107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viera Pediatric Dentistry, Pllc 5600 Porada Dr Ste 102 Viera FL 32940-8082 Ph: (321) 417-0107 | Viera Pediatric Dentistry, Pllc 5600 Porada Dr Ste 102 Viera FL 32940-8082 Ph: (321) 417-0107 |
| NPI Number | 1306305743 |
|---|---|
| Provider Enumeration Date | 03/15/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306305743 | NPI | - | NPPES |
| H252-975-84-952-0 | Other | FL | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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