Organization
DUNNELLON CENTER FOR COMPLETE DENTISTRY PA
Active
Other names
Dunnellon Center for Complete Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM KOSHY DMD (PRESIDENT)
(813) 317-5528
Entity
Organization
Contact information
Practice address
11653 N WILLIAMS ST, DUNNELLON, FL 34432-5890
(352) 489-8433
(352) 489-8477
Mailing address
11653 N WILLIAMS ST, DUNNELLON, FL 34432-5890
(352) 489-8433
(352) 489-8477
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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