| Clermont Kids Dentistry Pa | |
|
1655 E Hwy 50 Ste 101 Clermont FL 34711-5056 | |
| (407) 446-6644 | |
| Not Available |
| Full Name | Clermont Kids Dentistry Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1655 E Hwy 50 Ste 101, Clermont, Florida |
| Authorized Official Name and Position | Faraz Tartibi (OWNER) |
| Authorized Official Contact | 4074466644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clermont Kids Dentistry Pa 416 Harley Ct Oviedo FL 32765-8359 Ph: (407) 446-6644 | Clermont Kids Dentistry Pa 1655 E Hwy 50 Ste 101 Clermont FL 34711-5056 Ph: (407) 446-6644 |
| NPI Number | 1164998308 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164998308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Leonard S Kaplan Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1645 E Hwy 50, Suite 100, Clermont, FL 34711 Phone: 352-742-0484 Fax: 352-742-0923 | |
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