Organization
DENTALCENTRE OF WEST FL. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W HOLMES DDS (OWNER/PRESIDENT)
(863) 773-9852
Entity
Organization
Contact information
Practice address
203 SOUTH 7TH AVE, WAUCHULA, FL 33873
(863) 773-9852
(863) 773-5005
Mailing address
203 SOUTH 7TH AVE, WAUCHULA, FL 33873
(863) 773-9852
(863) 773-5005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 10682
FL
Other
Enumeration date
05/14/2007
Last updated
09/11/2012
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