| Captivating Dental Care, P.a. | |
|
100 E Sugarland Hwy Clewiston FL 33440-2919 | |
| (863) 983-7361 | |
| (863) 983-0001 |
| Full Name | Captivating Dental Care, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 E Sugarland Hwy, Clewiston, Florida |
| Authorized Official Name and Position | Kevin Van (PRESIDENT) |
| Authorized Official Contact | 9412685704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Captivating Dental Care, P.a. 100 E Sugarland Hwy Clewiston FL 33440-2919 Ph: (863) 983-7361 | Captivating Dental Care, P.a. 100 E Sugarland Hwy Clewiston FL 33440-2919 Ph: (863) 983-7361 |
| NPI Number | 1912742495 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912742495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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