| Dentists Of Davenport, Pa | |
|
2122 Triglia Way Davenport FL 33896 | |
| (863) 812-4570 | |
| (863) 812-4219 |
| Full Name | Dentists Of Davenport, Pa |
|---|---|
| Speciality | Dentist |
| Location | 2122 Triglia Way, Davenport, Florida |
| Authorized Official Name and Position | Omeir Tariq Ansari (OWNER) |
| Authorized Official Contact | 8638124570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentists Of Davenport, Pa Po Box 920050 Dallas TX 75392-0050 Ph: () - | Dentists Of Davenport, Pa 2122 Triglia Way Davenport FL 33896 Ph: (863) 812-4570 |
| NPI Number | 1073381521 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073381521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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