| Riverview Modern Dentistry | |
|
11345 S. Us Highway 301 Suite 104 Riverview FL 33578 | |
| (813) 367-9496 | |
| (813) 367-9973 |
| Full Name | Riverview Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 11345 S. Us Highway 301, Riverview, Florida |
| Authorized Official Name and Position | Minh Pham (OWNER) |
| Authorized Official Contact | 8133679496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Modern Dentistry Po Box 920050 Dallas TX 75392-0050 | Riverview Modern Dentistry 11345 S. Us Highway 301 Suite 104 Riverview FL 33578 Ph: (813) 367-9496 |
| NPI Number | 1205533064 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205533064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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