| Wekiva Dental | |
|
686 N Hunt Club Blvd Wekiva Place, Suite 100 Longwood FL 32779-2218 | |
| (407) 869-7333 | |
| (407) 869-5720 |
| Full Name | Wekiva Dental |
|---|---|
| Speciality | Dentist |
| Location | 686 N Hunt Club Blvd, Longwood, Florida |
| Authorized Official Name and Position | Mark S. Offenback (PRESIDENT) |
| Authorized Official Contact | 4078697333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wekiva Dental 686 N Hunt Club Blvd Wekiva Place, Suite 100 Longwood FL 32779-2218 Ph: (407) 869-7333 | Wekiva Dental 686 N Hunt Club Blvd Wekiva Place, Suite 100 Longwood FL 32779-2218 Ph: (407) 869-7333 |
| NPI Number | 1346681491 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346681491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN10359 (Florida) | Primary |
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