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Organization
ASCEND DENTAL GOUP PA
Active
Organization
ASCEND DENTAL GOUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN E TERRERO DDS (DENTIST)
(813) 419-0823
Entity
Organization
Contact information
Practice address
4400 BAYOU BLVD STE 44A, PENSACOLA, FL 32503-1910
(850) 857-8427
Mailing address
12608 BISCAYNE CT, NAPLES, FL 34105-4936
(813) 419-0823
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2020
Last updated
10/19/2020
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