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Organization

VIVI SPA DENTAL P.A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. THUVAN T VO D.M.D (DENTIST)
(813) 617-0675
Entity
Organization

Contact information

Practice address
10722 KETCHUM VALLEY DR, RIVERVIEW, FL 33579-7185
(813) 671-0675
Mailing address
10722 KETCHUM VALLEY DR, RIVERVIEW, FL 33579-7185
(813) 671-0675

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18603
FL

Other

Enumeration date
08/07/2013
Last updated
08/28/2013
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