| Carr Pediatric Dentistry | |
|
11936 Boyette Rd Riverview FL 33569-5601 | |
| (813) 672-3368 | |
| Not Available |
| Full Name | Carr Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11936 Boyette Rd, Riverview, Florida |
| Authorized Official Name and Position | Natalie Carr Bustillo (PRESIDENT) |
| Authorized Official Contact | 8136723368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carr Pediatric Dentistry 11936 Boyette Rd Riverview FL 33569-5601 Ph: (813) 672-3368 | Carr Pediatric Dentistry 11936 Boyette Rd Riverview FL 33569-5601 Ph: (813) 672-3368 |
| NPI Number | 1720597842 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720597842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Florida) | Primary |
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