Viva Dental Studio | |
2522 Jacks Road, Unit #2a Davenport FL 33897 | |
(305) 910-6975 | |
Not Available |
Full Name | Viva Dental Studio |
---|---|
Speciality | Clinic/center - Dental |
Location | 2522 Jacks Road, Unit #2a, Davenport, Florida |
Authorized Official Name and Position | Juliana Correal (GENERAL DENTIST) |
Authorized Official Contact | 3059106975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Viva Dental Studio 9544 Royal Estates Blvd Orlando FL 32836-8896 Ph: (305) 910-6975 | Viva Dental Studio 2522 Jacks Road, Unit #2a Davenport FL 33897 Ph: (305) 910-6975 |
NPI Number | 1346016250 |
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Provider Enumeration Date | 12/01/2023 |
Last Update Date | 04/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346016250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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