| Artistic Dental Of Polk City, Llc | |
|
120 Carter Blvd Suite 7 Polk City FL 33868-8908 | |
| (863) 984-0000 | |
| Not Available |
| Full Name | Artistic Dental Of Polk City, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 120 Carter Blvd, Polk City, Florida |
| Authorized Official Name and Position | David W Goldston (MEMBER) |
| Authorized Official Contact | 8639840000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Artistic Dental Of Polk City, Llc 120 Carter Blvd Ste 7 Polk City FL 33868-8912 Ph: (863) 984-0000 | Artistic Dental Of Polk City, Llc 120 Carter Blvd Suite 7 Polk City FL 33868-8908 Ph: (863) 984-0000 |
| NPI Number | 1528301058 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 04/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528301058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN4587 (Florida) | Primary |
Kreative Dental Care Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Carter Blvd Ste 7, Polk City, FL 33868 Phone: 863-984-0000 |