| Trinity Village Dental, LLC | |
|
10720 State Road 54 Ste 101 Trinity FL 34655-2264 | |
| (727) 372-9955 | |
| (727) 372-7273 |
| Full Name | Trinity Village Dental, LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10720 State Road 54 Ste 101, Trinity, Florida |
| Authorized Official Name and Position | Jincy Kuruvilla Daniel (DENTIST) |
| Authorized Official Contact | 7273729955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Village Dental, LLC 10720 State Road 54 Ste 101 Trinity FL 34655-2264 Ph: (727) 372-9955 | Trinity Village Dental, LLC 10720 State Road 54 Ste 101 Trinity FL 34655-2264 Ph: (727) 372-9955 |
| NPI Number | 1356734990 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 03/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356734990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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