Tuscawilla Dental LLC

NPI #1598930646 in Edgewater, Florida

Provider Information

NPI Number: 1598930646
Entity Type: Organization
Organization Name: Tuscawilla Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 29, 2008
Last Updated: Apr 29, 2008

Practice Location

Address: 2102 S RIDGEWOOD AVE
Address 2: STE 6
City: Edgewater
State: Florida
ZIP Code: 32141-4240
Phone: (386) 423-3652

Authorized Official

Name: DR. DAVID RICHARD MCCREARY, DMD
Title: OWNER
Phone: (386) 423-3652

Specialties & Taxonomy Codes

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

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