Organization
PEDIATRIC DENTAL PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A TARVER DMD (MANAGER)
(863) 899-1617
Entity
Organization
Contact information
Practice address
255 SE 17TH ST, OCALA, FL 34471-5138
(352) 274-9731
Mailing address
255 SE 17TH ST, OCALA, FL 34471-5138
(352) 274-9731
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18670
FL
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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