Kreative Dental Care PA

NPI #1861967333 in Polk City, Florida

Provider Information

NPI Number: 1861967333
Entity Type: Organization
Organization Name: Kreative Dental Care PA
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 10, 2018
Last Updated: Oct 10, 2018

Practice Location

Address: 120 CARTER BLVD STE 7
City: Polk City
State: Florida
ZIP Code: 33868-8912
Phone: (863) 984-0000

Authorized Official

Name: DR. YALICE MARIELY CARDONA, DMD
Title: PRESIDENT
Phone: (787) 552-2631

Specialties & Taxonomy Codes

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

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