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Organization
ADVANCED DENTAL CARE OF RIVERVIEW PLLC
Active
Organization
ADVANCED DENTAL CARE OF RIVERVIEW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(941) 955-3150
Entity
Organization
Contact information
Practice address
13018 S US HIGHWAY 301, RIVERVIEW, FL 33579
(813) 463-8629
Mailing address
13018 S US HIGHWAY 301, RIVERVIEW, FL 33579
(813) 463-8629
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
11/28/2018
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