Organization
PROSTHODONTICS & IMPLANT DENTISTRY, PA
Active
Other names
Prosthodontics & Implant Dentistry, PA
Organization subpart
No
Provider details
NPI number
Authorized official
VIET HO DDS (PRESIDENT)
(863) 294-4484
Entity
Organization
Contact information
Practice address
200 AVENUE K SE STE 4, WINTER HAVEN, FL 33880-4000
(863) 294-4484
(863) 662-4234
Mailing address
200 AVENUE K SE STE 4, WINTER HAVEN, FL 33880-4000
(863) 294-4484
(863) 662-4234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
01/23/2024
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