| Ava Dental Implants Periodontics | |
|
2600 Jacks Rd Davenport FL 33897-8007 | |
| (863) 888-3374 | |
| (863) 888-3369 |
| Full Name | Ava Dental Implants Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2600 Jacks Rd, Davenport, Florida |
| Authorized Official Name and Position | Rafik Dib (OWNER) |
| Authorized Official Contact | 8638883374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ava Dental Implants Periodontics 2600 Jacks Rd Davenport FL 33897-8007 | Ava Dental Implants Periodontics 2600 Jacks Rd Davenport FL 33897-8007 Ph: (863) 888-3374 |
| NPI Number | 1740154004 |
|---|---|
| Provider Enumeration Date | 09/30/2025 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740154004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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