Individual
DOLLY ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 E HWY 50, SUITE 103, CLERMONT, FL 34711-8411
(352) 989-5815
Mailing address
2970 SANTA MARCOS DR, CLERMONT, FL 34715-8013
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22660
FL
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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