Ideal Dental of Clermont Pllc

NPI #1568074193 in Clermont, Florida

Provider Information

NPI Number: 1568074193
Entity Type: Organization
Organization Name: Ideal Dental of Clermont Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 17, 2020
Last Updated: Oct 2, 2023

Practice Location

Address: 2612 S HWY 27 STE 600
City: Clermont
State: Florida
ZIP Code: 34711-6521
Phone: (407) 965-0090

Authorized Official

Name: JOSHUA COUSSA, DMD
Title: OWNER
Phone: (972) 331-8079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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