| Davenport Dental Associates Llc | |
| 
					2213 North Blvd W Davenport FL 33837-8990  | |
| (863) 256-3636 | |
| Not Available | 
| Full Name | Davenport Dental Associates Llc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 2213 North Blvd W, Davenport, Florida | 
| Authorized Official Name and Position | Ivan Zamora (PRESIDENT) | 
| Authorized Official Contact | 3055864500 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Davenport Dental Associates Llc 2213 North Blvd W Davenport FL 33837-8990 Ph: (863) 256-3636  | Davenport Dental Associates Llc 2213 North Blvd W Davenport FL 33837-8990 Ph: (863) 256-3636  | 
| NPI Number | 1508522368 | 
|---|---|
| Provider Enumeration Date | 11/16/2021 | 
| Last Update Date | 11/16/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508522368 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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