Trinity Village Dental, LLC

NPI #1356734990 in Trinity, Florida

Provider Information

NPI Number
1356734990
Entity Type
Organization
Organization Name
Trinity Village Dental, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
TRINITY VILLAGE DENTAL, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 6, 2015
Last Updated
Mar 6, 2015

Practice Location

Address
10720 STATE ROAD 54 STE 101
State
Florida
ZIP Code
34655-2264
Phone
(727) 372-9955

Authorized Official

Name
JINCY KURUVILLA DANIEL, D.M.D
Title
DENTIST
Phone
(727) 372-9955

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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