Vdc-Crystal River PA
NPI #1053683722 in Crystal River, Florida
Provider Information
- NPI Number
- 1053683722
- Entity Type
- Organization
- Organization Name
- Vdc-Crystal River PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 27, 2012
- Last Updated
- Feb 16, 2012
Practice Location
- Address
- 6824 W GULF TO LAKE HWY
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-7806
- Phone
- (352) 684-1274
Authorized Official
- Name
- MRS. JANEEN M GORMAN
- Title
- MANGER
- Phone
- (352) 684-1274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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