| Family Dentistry Of St. Cloud, Pl | |
|
1300 13th St Suite B Saint Cloud FL 34769-4317 | |
| (407) 892-3326 | |
| (407) 892-4354 |
| Full Name | Family Dentistry Of St. Cloud, Pl |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1300 13th St, Saint Cloud, Florida |
| Authorized Official Name and Position | Mark Steven Colburn (MGRM) |
| Authorized Official Contact | 4078923326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of St. Cloud, Pl 1300 13th St Suite B Saint Cloud FL 34769-4317 Ph: (407) 892-3326 | Family Dentistry Of St. Cloud, Pl 1300 13th St Suite B Saint Cloud FL 34769-4317 Ph: (407) 892-3326 |
| NPI Number | 1669796264 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 03/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669796264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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