Organization
HALCYON DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIKA CAVIEDES (PRESIDENT)
(813) 672-4900
Entity
Organization
Contact information
Practice address
13051 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 672-4900
Mailing address
13051 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 672-4900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17483
FL
261QD0000X
Dental Clinic/Center
DN17508
FL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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