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Organization

ADVANCED DENTAL CARE OF RIVERVIEW PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(941) 955-3150
Entity
Organization

Contact information

Practice address
13018 S US HIGHWAY 301, RIVERVIEW, FL 33579
(813) 463-8629
Mailing address
13018 S US HIGHWAY 301, RIVERVIEW, FL 33579
(813) 463-8629

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/18/2018
Last updated
11/28/2018
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