| Pediatric Dental Partners Llc | |
|
255 Se 17th St Ocala FL 34471-5138 | |
| (352) 274-9731 | |
| Not Available |
| Full Name | Pediatric Dental Partners Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 255 Se 17th St, Ocala, Florida |
| Authorized Official Name and Position | Michael A Tarver (MANAGER) |
| Authorized Official Contact | 8638991617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Partners Llc 255 Se 17th St Ocala FL 34471-5138 Ph: (352) 274-9731 | Pediatric Dental Partners Llc 255 Se 17th St Ocala FL 34471-5138 Ph: (352) 274-9731 |
| NPI Number | 1093136004 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093136004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN18670 (Florida) | Primary |
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