| Wildwood Modern Dentistry, Pa | |
|
5297 Sundance Trl Wildwood FL 34785-7717 | |
| (352) 663-9773 | |
| Not Available |
| Full Name | Wildwood Modern Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5297 Sundance Trl, Wildwood, Florida |
| Authorized Official Name and Position | Jerin Joseph (OWNER) |
| Authorized Official Contact | 7148458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Modern Dentistry, Pa Po Box 660041 Dallas TX 75266-0041 Ph: () - | Wildwood Modern Dentistry, Pa 5297 Sundance Trl Wildwood FL 34785-7717 Ph: (352) 663-9773 |
| NPI Number | 1063222149 |
|---|---|
| Provider Enumeration Date | 01/10/2025 |
| Last Update Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063222149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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