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Organization
TRINITY VILLAGE DENTAL, LLC
Active
Organization
TRINITY VILLAGE DENTAL, LLC
Active
Parent organization
TRINITY VILLAGE DENTAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY VILLAGE DENTAL, LLC
Authorized official
JINCY KURUVILLA DANIEL D.M.D (DENTIST)
(727) 372-9955
Entity
Organization
Contact information
Practice address
10720 STATE ROAD 54 STE 101, TRINITY, FL 34655-2264
(727) 372-9955
(727) 372-7273
Mailing address
10720 STATE ROAD 54 STE 101, TRINITY, FL 34655-2264
(727) 372-9955
(727) 372-7273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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