Clermont Modern Dentistry, PA

NPI #1548925902 in Clermont, Florida

Provider Information

NPI Number: 1548925902
Entity Type: Organization
Organization Name: Clermont Modern Dentistry, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 1, 2021
Last Updated: Nov 1, 2021

Practice Location

Address: 17300 STATE ROAD 50
City: Clermont
State: Florida
ZIP Code: 34711-8140
Phone: (352) 403-1298

Authorized Official

Name: DR. MINH PHAM, DDS
Title: OWNER DENTIST
Phone: (714) 845-8890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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