Organization
DENTAL ASSOCIATES OF BARTOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL WITT (OPERATIONS MANAGER)
(863) 510-5960
Entity
Organization
Contact information
Practice address
3500 S FLORIDA AVE STE 2, LAKELAND, FL 33803-4869
(863) 510-5960
(863) 510-5961
Mailing address
1054 N BROADWAY AVE STE 13, BARTOW, FL 33830-3301
(863) 533-4444
(863) 533-4453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17074
FL
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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