Organization
DENTAL ASSOCIATES OF WINTER HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL WITT (OPERATIONS MANAGER)
(863) 510-5960
Entity
Organization
Contact information
Practice address
3500 S FLORIDA AVE, SUITE 2, LAKELAND, FL 33803-4869
(863) 510-5960
(863) 510-5961
Mailing address
317 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33880-4452
(863) 875-7934
(863) 875-7938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17074
FL
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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