| Dentists at Big Bend, PA | |
|
7020 Big Bend Rd Suite 105 Riverview FL 33534 | |
| (813) 499-9204 | |
| Not Available |
| Full Name | Dentists at Big Bend, PA |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7020 Big Bend Rd, Riverview, Florida |
| Authorized Official Name and Position | Sol Kim (OWNER) |
| Authorized Official Contact | 7148458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentists at Big Bend, PA Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | Dentists at Big Bend, PA 7020 Big Bend Rd Suite 105 Riverview FL 33534 Ph: (813) 499-9204 |
| NPI Number | 1366275653 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366275653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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