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Organization
TOWNCARE DENTAL OF BONITA SPRINGS PA
Active
Organization
TOWNCARE DENTAL OF BONITA SPRINGS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN E TERRERO DDS (OWNER)
(239) 498-6780
Entity
Organization
Contact information
Practice address
16565 VANDERBILT DR, BONITA SPRINGS, FL 34134-7552
(239) 498-6780
Mailing address
16565 VANDERBILT DR, BONITA SPRINGS, FL 34134-7552
(239) 498-6780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 5380
FL
Other
Enumeration date
02/11/2009
Last updated
07/29/2014
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