Organization
DENTISTRY OF TAVARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEMENT JAMES CONTESTABLE DMD (DENTIST/OWNER)
(321) 356-5497
Entity
Organization
Contact information
Practice address
1941 SALK AVE, TAVARES, FL 32778-4306
(321) 356-5497
Mailing address
1941 SALK AVE, TAVARES, FL 32778-4306
(352) 357-4588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109499200
—
FL
Enumeration date
12/10/2021
Last updated
04/25/2023
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