Organization
RAFIK DIB, DDS, LLC
Active
Other names
AVA Dental Implants Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFIK DIB DDS (OWNER)
(863) 888-3374
Entity
Organization
Contact information
Practice address
2600 JACKS RD, DAVENPORT, FL 33897-8007
(863) 888-3374
(863) 888-3369
Mailing address
2600 JACKS RD, DAVENPORT, FL 33897-8007
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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