Organization · Type 2 NPI

Implants, Periodontics & Facial Rejuvenation

Dental Clinic/Center · Wesley Chapel, FL

NPI number 1104198282 Active

Practice location

2346 Creel Ln Ste 101
Wesley Chapel, FL 33544-4623

Mailing address

2346 Creel Lane #101
Wesley Chapel, FL 33544

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDN012810 (FL)

Dental Clinic/Center: Definition to come...

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About NPI 1104198282

Implants, Periodontics & Facial Rejuvenation's National Provider Identifier is 1104198282, issued on Feb 3, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Wesley Chapel, FL. The record was last updated on Feb 3, 2012.