Bopp And Tarver PLLC
Dentist, Pediatric Dentistry in Lakeland, FL. Organization (NPI-2).
NPI number1023318052
StatusActive
Last updated in NPPESOct 25, 2010
Details
- NPI
- 1023318052
- Entity type
- Organization (NPI-2)
- Legal business name
- Bopp And Tarver PLLC
- Organization subpart
- No
- Enumeration date
- Oct 25, 2010
- Last updated
- Oct 25, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DN5979 | FL | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | DN17195 | FL |
Practice location
1111 N Parkway Frontage RdLakeland, FL 33803-0400
Phone 863-644-2408 · Fax 863-646-8493
Mailing address
1111 N Parkway Frontage RdLakeland, FL 33803-0400
Phone 863-644-2408 · Fax 863-646-8493
Authorized official
Debbie L Adrian
Office Manager
8636442408
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