Organization
CLERMONT KIDS DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARAZ TARTIBI DMD (OWNER)
(407) 446-6644
Entity
Organization
Contact information
Practice address
1655 E HWY 50 STE 101, CLERMONT, FL 34711-5056
(407) 446-6644
Mailing address
416 HARLEY CT, OVIEDO, FL 32765-8359
(407) 446-6644
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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