Organization · NPI-2

Affordable Dentures & Implants - Clearwater II, P.A.

Dentist · Clearwater, FL

NPI number1760082648
StatusActive
Last updated in NPPESOct 29, 2020

Details

NPI
1760082648
Entity type
Organization (NPI-2)
Legal business name
Affordable Dentures & Implants - Clearwater II, P.A.
Organization subpart
No
Enumeration date
Oct 29, 2020
Certification date
Oct 29, 2020
Last updated
Oct 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

26258 Us Highway 19 N
Clearwater, FL 33761-4506

Phone 727-669-3854

Mailing address

26258 Us Highway 19 N
Clearwater, FL 33761-4506

Phone 727-669-3854

Authorized official

Ledesha Maduro
Owner
7276693854

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