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Individual
DR. JOHN F CERVENKA
Active
Individual
DR. JOHN F CERVENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120745
UNITED CONCORDIA
—
01
—
67187
BCBS
FL
Enumeration date
09/06/2006
Last updated
07/08/2007
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