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Organization
CLERMONT PERIODONTICS AND IMPLANT CENTER PLLC
Active
Organization
CLERMONT PERIODONTICS AND IMPLANT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERWIN OMARRE SCOTT DDS, MS, CHP (OWNER)
(731) 313-0998
Entity
Organization
Contact information
Practice address
1381 CITRUS TOWER BLVD, CLERMONT, FL 34711-1957
(731) 313-0998
Mailing address
17522 PROMENADE DR, CLERMONT, FL 34711-5894
(731) 313-0998
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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