Organization
TIM M. VERWEST, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM VERWEST DMD (OWNER)
(239) 482-2722
Entity
Organization
Contact information
Practice address
9371 CYPRESS LAKE DR, SUITE 7, FORT MYERS, FL 33919-4939
(239) 482-2722
Mailing address
9371 CYPRESS LAKE DR, SUITE 7, FORT MYERS, FL 33919-4939
(239) 482-2722
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN0012089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073699600
—
FL
05
—
073699601
—
FL
Enumeration date
06/26/2013
Last updated
06/26/2013
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