Organization
EDWIN ACOSTA DDS INC
Active
Other names
Hancock Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN ACOSTA DDS (PRESIDENT)
(352) 989-5815
Entity
Organization
Contact information
Practice address
2560 E HIGHWAY 50, SUITE 103, CLERMONT, FL 34711-8411
(352) 989-5815
(321) 400-1176
Mailing address
2560 E HIGHWAY 50, SUITE 103, CLERMONT, FL 34711-8411
(352) 989-5815
(321) 400-1176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19583
FL
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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