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Organization
EDWIN ACOSTA DDS INC
Active
Organization
EDWIN ACOSTA DDS INC
Active
Other names
Hancock Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN ACOSTA DDS (PRESIDENT)
(352) 989-5815
Entity
Organization
Contact information
Practice address
2560 E HIGHWAY 50, SUITE 103, CLERMONT, FL 34711-8411
(352) 989-5815
(321) 400-1176
Mailing address
2560 E HIGHWAY 50, SUITE 103, CLERMONT, FL 34711-8411
(352) 989-5815
(321) 400-1176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19583
FL
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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