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Organization
ARTISTIC DENTAL OF POLK CITY, LLC
Active
Organization
ARTISTIC DENTAL OF POLK CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W GOLDSTON DDS (MEMBER)
(863) 984-0000
Entity
Organization
Contact information
Practice address
120 CARTER BLVD, SUITE 7, POLK CITY, FL 33868-8908
(863) 984-0000
Mailing address
120 CARTER BLVD STE 7, POLK CITY, FL 33868-8912
(863) 984-0000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN4587
FL
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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