| Vdccr,p.a. | |
|
6824 W Gulf To Lake Hwy Crystal River FL 34429-7806 | |
| (352) 794-6139 | |
| (352) 263-2756 |
| Full Name | Vdccr,p.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6824 W Gulf To Lake Hwy, Crystal River, Florida |
| Authorized Official Name and Position | Janeen M Gorman (MANGER) |
| Authorized Official Contact | 3526841274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vdccr,p.a. 7425 Spring Hill Dr Spring Hill FL 34606-4348 Ph: (352) 684-1274 | Vdccr,p.a. 6824 W Gulf To Lake Hwy Crystal River FL 34429-7806 Ph: (352) 794-6139 |
| NPI Number | 1396394664 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396394664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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