Bella Bella Dental Group

NPI #1740569607 in Clermont, Florida

Provider Information

NPI Number: 1740569607
Entity Type: Organization
Organization Name: Bella Bella Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 10, 2011
Last Updated: Aug 17, 2011

Practice Location

Address: 3185 CITRUS TOWER BLVD
City: Clermont
State: Florida
ZIP Code: 34711
Phone: (352) 241-8471

Authorized Official

Name: DR. LIEN T VAN, D.D.S.
Title: OWNER/DENTIST
Phone: (352) 241-8471

Specialties & Taxonomy Codes

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

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