Artistic Dental of Polk City, LLC

NPI #1528301058 in Polk City, Florida

Provider Information

NPI Number: 1528301058
Entity Type: Organization
Organization Name: Artistic Dental of Polk City, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 3, 2013
Last Updated: Apr 3, 2013

Practice Location

Address: 120 CARTER BLVD
Address 2: SUITE 7
City: Polk City
State: Florida
ZIP Code: 33868-8908
Phone: (863) 984-0000

Authorized Official

Name: DR. DAVID W GOLDSTON, DDS
Title: MEMBER
Phone: (863) 984-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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