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Organization
KRYSTAL CLEAR DENTAL P.L.
Active
Organization
KRYSTAL CLEAR DENTAL P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTELLE TERRY DUVERT DDS (DENTIST)
(813) 849-3695
Entity
Organization
Contact information
Practice address
19445 SHUMARD OAK DR, LAND O LAKES, FL 34638-7262
(813) 849-3695
Mailing address
18838 DUQUESNE DR, TAMPA, FL 33647-3421
(813) 849-3695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16987
FL
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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