Organization
CAPTIVATING DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN VAN DDS (PRESIDENT)
(941) 268-5704
Entity
Organization
Contact information
Practice address
100 E SUGARLAND HWY, CLEWISTON, FL 33440-2919
(863) 983-7361
(863) 983-0001
Mailing address
100 E SUGARLAND HWY, CLEWISTON, FL 33440-2919
(863) 983-7361
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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