| Vivi Spa Dental P.a | |
|
10722 Ketchum Valley Dr Riverview FL 33579-7185 | |
| (813) 671-0675 | |
| Not Available |
| Full Name | Vivi Spa Dental P.a |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10722 Ketchum Valley Dr, Riverview, Florida |
| Authorized Official Name and Position | Thuvan T Vo (DENTIST) |
| Authorized Official Contact | 8136170675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivi Spa Dental P.a 10722 Ketchum Valley Dr Riverview FL 33579-7185 Ph: (813) 671-0675 | Vivi Spa Dental P.a 10722 Ketchum Valley Dr Riverview FL 33579-7185 Ph: (813) 671-0675 |
| NPI Number | 1598197964 |
|---|---|
| Provider Enumeration Date | 08/07/2013 |
| Last Update Date | 08/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598197964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 18603 (Florida) | Primary |
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