| Valley Dental | |
|
10722 Ketchum Valley Dr Riverview FL 33579-7185 | |
| (813) 671-0675 | |
| Not Available |
| Full Name | Valley Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10722 Ketchum Valley Dr, Riverview, Florida |
| Authorized Official Name and Position | Mohiuddin Ifaz (OWNER) |
| Authorized Official Contact | 9549038587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Dental 21662 Snowy Orchid Ter Land O Lakes FL 34637-4709 Ph: (954) 903-8587 | Valley Dental 10722 Ketchum Valley Dr Riverview FL 33579-7185 Ph: (813) 671-0675 |
| NPI Number | 1487532586 |
|---|---|
| Provider Enumeration Date | 08/26/2025 |
| Last Update Date | 08/26/2025 |
| Certification Date | 08/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487532586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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