Krystal Clear Dental P.l.
NPI #1417110537 in Land O Lakes, Florida
Provider Information
- NPI Number
- 1417110537
- Entity Type
- Organization
- Organization Name
- Krystal Clear Dental P.l.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 9, 2008
- Last Updated
- Jul 9, 2008
Practice Location
- Address
- 19445 SHUMARD OAK DR
- City
- Land O Lakes
- State
- Florida
- ZIP Code
- 34638-7262
- Phone
- (813) 849-3695
Authorized Official
- Name
- DR. KRYSTELLE TERRY DUVERT, DDS
- Title
- DENTIST
- Phone
- (813) 849-3695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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